Role Model Elite
Basketball Tryout Registration Form
Player Name
First Name
Last Name
Player Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Grade in September
Age
Birth date
School
Height
Instagram & Twitter
Which tryout will you be attending?
3rd-5th grade boys tryouts Aug 16th: 12pm-1:30pm @ H. Fletcher Brown Boys & Girls Club
6th-8th grade boys tryouts Aug 16th: 2pm-3:30pm @ H. Fletcher Brown Boys & Girls Club
Jersey & Shorts Size
Sneaker Size
Medical Conditions
Parent Name
First Name
Last Name
Parent Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
example@example.com
Parent (2) Name
First Name
Last Name
Parent (2) Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Parent (2) Email
example@example.com
My Products
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Basketball Tryout Fee
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: