Important: Bring photocopy of birth certificate to the tryout. HSAA will
keep it on file.
Today's Date__________________
Athlete
Name:________________________________________________
Grade Classification (circle one): 6th
7th 8th
Birthdate (MM/DD/YY):
_____________________ Age Today:_________
Parents'
Names:________________________________________________
Home
Address:_________________________________________________
City:_______________________
Zip:_______________
Home Phone:________________
E-mail:____________________________
Other Phone
(specify):___________________________________________
Other E-mail
(specify):___________________________________________
Questionnaire (will not impact
your placement on a team):
How many years (not seasons) have you
played organized basketball?______
Did you play on an organized basketball team
last winter, spring, or summer? _________________
If yes, which one?_________________ What
league? _______________
Are you currently enrolled in a private or
public school (include half-day, part-time, or co-op)? _________ If yes, which
one?________________________________________
Parental Interest (check all that apply):
____Head Coach ____Asst. Coach _____Team Admin
_____Scorebook _____Stats