Organisation Name
Eg. Your University, Junior College, High School name.
Which program are you interested in?
*
Please Select
Boys AAU Tour
Girls AAU Tour
Current Coaching Level
*
Please Select
Club Level Coach
Association/State Level Coach
National Level Coach
University/College Coach
High School Coach
Other
Organisation Division
*
Please Select
NCAA Division 1
NCAA Division 2
NCAA Division 3
NAIA Division 1
NAIA Division 2
Junior College Division 1
Junior College Division 2
High School
Preparatory School
Other
Who is completing this form?
*
Please Select
Player
Parent/Guardian
Parent First Name
*
Parent Last Name
*
Parent Email
*
example@gmail.com
Parent Mobile Number
*
Please enter a valid mobile phone number.
Player's First Name
*
Player's Last Name
*
Player Email
*
example@gmail.com
Player Mobile Number
*
Please enter a valid mobile phone number.
Player's Gender
*
Please Select
Male
Female
Player's Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
State
*
Please Select
NSW
QLD
VIC
SA
TAS
WA
ACT
NT
Postcode
*
Please enter a valid postcode.
Current Playing Level
*
Please Select
Local Competition
Division 1 Reps
Division 2 Reps
Division 3 Reps
Division 4 Reps
State Team or Training Program
Waratah League
College
Professional
Player High School Graduation Year
*
Please Select
Graduated
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Submit
Should be Empty: