Jr. Boom Travel Basketball Registration
March 15, 2025 | 9:00 am - 11:00 am | 640 Evenhouse Rd, Lake Alfred, FL 33850
Student Athlete's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Player E-mail
example@example.com
Grade
*
Please Select
6th Grade
7th Grade
8th Grade
Freshman
Sophomore
Junior
Senior
Shirt Size:
*
Please Select
Small
Medium
Large
School Currently Attending:
*
Player Natural Playing Position
Point Guard
Shooting Guard
Small Forward
Power Forward
Center
Don't Know
Parent/Guardian Information:
Name
*
First Name
Last Name
Relationship to Student Athlete
*
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Emergency Contact Name:
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies or Medical Conditions
*
(e.g., asthma, heart conditions)
How did you hear about us?
Please Select
Online Search
Facebook
Instagram
Friend or Family Referral
Jr. Boom Tryout Registration Payment Option
*
Pay At The Door
Submit
Should be Empty: