PCH Basketball Tryout Form 25-26

PCH Basketball Tryouts‼️

Please fill out the form for upcoming Tryouts. All participants must have this filled out prior to participation.

Session 1

Date- Sunday, March 1st

Age 15u -Time- 3:30-5pm

Age- 16u & 17U- Time 5pm-7pm

Location- Columbia Nazarene
901 St Andrews Rd Columbia SC

Session 2

Date- Sunday, March 8th

Age 15u -Time- 3:30pm-5pm

Age- 16u & 17U- Time 5pm-7pm

Location- Providence Park
578 Anders Dr Columbia SC

If you have any questions, please feel free to email
pchbasketballsc@gmail.com

Athlete Information

Student Athlete's Full Name*

First NameLast Name

Student Athlete's Personal Information*

HeightWeight

Grade

Age

Student Athlete's School Information*

School NameCurrent level Playing (Varsity, JV, B-team, MS)

Social Media Information*

Twitter HandleIG Handle

Parent/Guardian Information

Full Name*

First NameLast Name

Cell Number*

Area CodePhone Number

Confirmation

By entering the information below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Parent/Guardian Full Name*

First NameLast Name

Parent/Guardian Signature*

Confirmation E-mail*

My Products

Enter coupon

Total $0.00

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact Sam Gortman Jr. @ 803 606 7962.