Please complete the following club registration form for your child.  Once you have completed the form please click the "Submit" at the and of the form and we will contact you with the date and time for you to bring your child for a try-out. 

* Required Fields - Please fill out all fields below

*  Name:

* Address:

* City:

* State:

 * Zip Code:

Email Address:

 HGT.:

GPA:

 PSAT/SAT:

Health Insurance:

Policy #:

Basketball Experiance:

ElementaryJr. High Freshman Junior Varsity Varsity

Minutes/Game: Points/Game:  Rebounds/Game:

 AAU Age Grade

3rd

4th

5th

6th

7th

8th

9th

10th

11th