Fall/Winter Tryout Registration

Fall/Winter Tryout Registration

Please fill out the form to register for the upcoming tryouts. LOCATED IN QUINCY, IL
Welcome to our Fall/Winter tryouts registration! Tryouts will be split up by grade level listed below. If you have any questions, feel free to reach out to Haley Clingingsmith 217-440-9248.

7th-9th Grade: Friday August 7th, 7pm-8pm

2nd-4th Grade: Saturday August 8th, 8am-9am

5th-6th Grade: Saturday August 8th, 9am-10am

Location:

Chaddock

205 S 24th St

Quincy, IL
Player Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade 2026/2027
Which session will you be attending?
Preferred Make-Up Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
School Name
Years of Basketball Experience
List Current or Previous Teams here. If none type NA
Parent/Guardian Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

LIABILITY WAIVER

I understand that participation in activities with Dream Big Basketball involves the risk of injury. I voluntarily allow my child to participate and release , its coaches, volunteers, and facilities from liability for any injury or accident that may occur during participation.

By signing below, I acknowledge that I have read and agree to this waiver.
Signature
PHOTO & VIDEO RELEASE

I give permission for to use photos and videos of my child taken during practices, games, tournaments, and team events for promotional and social media purposes, including Facebook, TikTok, flyers, and other program materials.

I understand that no compensation will be provided for the use of these images or videos.
Signature
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