MOJA 2025 Basketball Tryout Registration

PLAYER INFORMATION
Player's Name*

First NameLast Name
Player Birthday *

MonthDayYear
Date
High School Attending*
PARENT/GUARDIAN INFORMATION
Parent/Guardian*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Phone*
PLAYER EXPERIENCE
Number of years playing basketball *
Highest level played*
Last Club Team played for*
Jersey Size
Shorts Size
Preferred Jersey Number
Add 3 choices in order of preference
Should be Empty: