Form – CANTRIKACL

Junior NBA Try Out Registration Form

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Basketball player's name *

First

Last

Basketball player's date of birth *

MM/DD/YYYY

Telp *

Email *

Asal Sekolah

What grade is the player in? *

If between grades, list the grade the player will be in at the start of the next school year.

Number of previous seasons played

Check all positions previously played

Check all positions trying out for

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Permission & Agreement *

I give the player stated here permission to play in this basketball league pursuant to all the terms and regulations that apply.

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