Player Information
Player Name
*
First Name
Last Name
Preferred Name (if applicable)
School
*
Grade
*
Please Select
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birthdate
*
-
Month
-
Day
Year
Date
Player Height (X'X)
*
Short Size
*
Y-SMALL
Y-MEDIUM
Y-LARGE
Y-XLARGE
A-SMALL
A-MEDIUM
A-LARGE
A-XLARGE
Y=YOUTH SIZES; A=ADULT SIZES
Jersey Size
*
Y-SMALL
Y-MEDIUM
Y-LARGE
Y-XLARGE
A-SMALL
A-MEDIUM
A-LARGE
A-XLARGE
Y=YOUTH SIZES; A=ADULT SIZES
How did you hear about tryouts?
Social Media
Promotional Email
Word of Mouth
Former 5STAR/MBA Select Player
Other
Parent/Guardian Information
Parent/Guardian
*
First Name
Last Name
Phone Number
*
Parent/Guardian E-mail (this is used to send updates on tryout dates/times)
*
Player E-mail
Emergency Contact
*
First Name
Last Name
Emergency Contact Number
*
Relationship to Student
Liability Release
Parent/Guardian Signature
*
Submit
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