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
Format: (000) 000-0000.
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: