Clippers Basketball Playing Up Request Form

Clippers Playing Up Request Form

Please read our Team Selection Policy prior to completing this form to ensure you reach all items required to play up.
Player Name*

First NameLast Name
Parent Name*

First NameLast Name
Parent E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Year Born*
Position*

Point GuardShooting GuardSmall ForwardPower ForwardCenter
Current Age Group*
Requested Age Group*
Current Team (if any)
Will you be a top age player in your current age group this season?*

YesNo
I would like to:*

Play in both my current age group and the age group up this seasonJust the older age group up this season
Please elaborate on reason for request below:*
I agree to the terms and conditions of Clippers Basketball "Playing Up Policy"

YesNo
Should be Empty:

Clippers Playing Up Request Form