Select Try-out Registration Form

Player Name:

Birth Date:

Select Coach (last year)

School (Grade):

Other Select Sports Teams:

Address/Town/Zip:

Summer AAU (Team Name):

Parent (Guardian):

Relationship:

Parent Home Phone

Parent

e-mail:

Parent Work Phone

Parent

Cell Phone:

Parent (Guardian) :

Relationship:

Parent Home Phone

Parent

e-mail:

Parent Work Phone

Parent

Cell Phone:

Potential Fall Conflicts (thru 11/15)

Potential Winter Conflicts (11/16 – 3/9)

Travel Soccer Practices ______________________

Thanksgiving (games on Saturday-Sunday)

LAX Practices___________________________

Winter Break  (Dec 21- Jan 5, 2014)

Other Sports  _______________________________

Other Sports _____________________________

Other Events/Activities________________________

Other Events/Activities: ____________________

McLean Select Basketball is designed for our most skilled players and is the highest level of competition in our winter youth program.  Checking this box signifies that you have read and understand the level of commitment expected from your child if chosen for a McLean Select Basketball team.

If your player receives (and accepts) an offer to play on a McLean Select team, your child’s coaches and teammates expect that you and your player are making a commitment to honor and respect your Select team.  To achieve team goals, the team coaches expect that basketball is the priority sport during the winter sport season, and all select basketball activities will take precedence over second-season winter sports such as soccer or baseball.

I have noted any known conflicts on the registration form and will discuss any other potential conflicts with the coach before accepting an offer to join a McLean Select team.

Signature     

Date