Rep Interest Form

Player Name

First NameLast Name

Player Email (Make Sure This is an Active Email)

example@example.com

Player Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Player Birth Date

MonthDayYear

Player Gender

Do you identify as Indigenous (First Nations, Métis, or Inuit)?

Have you Played OBA Club Basketball Before?

What grade will you be entering in September 2026?

Anticipated Age Group for the 2026–2027 Season (based on age as of January 1, 2027)

What School Do You Attend? (Note: if you are going into a new school this coming year select that one)

*If you Selected Other For School Please Share Here (Type N/A if you selected above)

Parent Contact Name

First NameLast Name

Parent Contact Phone

Format: (000) 000-0000.

Parent Contact E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Anything we should know? Health Concerns? Basketball History?