Basketball Registration Form

Basketball Registration Form

Submit your details to register for Lafayette Ballers tryouts.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Playing Position
Height (in cm)
Weight
Basketball Experience (years)
Previous Teams or Achievements
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
I agree to team rules and understand roster spots are not guaranteed
Did you play in any high school or college?
Signature
Should be Empty: