Test Player Registration - Pelham Panthers Basketball

Program *

Tryout Division *

Please select the division based on the grade your player will be entering in September 2026.

Player Information

Player First Name *

Player Last Name *

Player Date of Birth *

Player Gender *

Player Grade (In September 2026) *

Player School (In September 2026)

Guardian First Name *

Guardian Last Name *

Guardian Email *

Guardian Phone *

Address *

City *

Province / State *

Postal / ZIP Code *

Medical Notes

Allergies

Emergency Contact Name *

Emergency Contact Phone *

Waiver Accepted *

I have read and accept the Tryout Waiver & Consent.

You must accept the waiver to continue.

Photo Consent

I give permission for photos/videos to be used by the club.

Marketing Consent

I agree to receive club emails, updates, and program information.