Trials Day Registration

(* denotes field is mandatory)

Please note Boys trials will be held on Saturday 9th June at the Nechells Wellbeing Centre and the Girls trials will be held on Saturday 16th June at Heartlands Academy

Entry Time*:

Player Details

Gender*:MaleFemale

Date of Birth*: (in some browsers, reqd format is yyyy-mm-dd)

Age*:

Height*:

Nationality (required)

Ethnicity:

Address




Contact Details

Basketball Details

Playing Standard*:

Other Details:
(Medical conditions, dietary requirements, allergies etc, if none add N/A)

Please advise if you have any objections to the player being included in promotional photography or videos relating to the camp or the club. Answer*:

I would like to receive updates about upcoming news and events and club information from City of Birmingham Rockets Basketball Club via,
SMSEmailTelephonePostI would not like to be contacted