Kettering Basketball Club Tryout Form

If you would like to try out for the Kettering Basketball Club (Future Firebirds) Fall/Winter 2018-2019 teams, please complete the information below and press the Submit button.   Submitting your tryout information on-line will help speed the process during tryouts.  Please e-mail any questions to tryouts@futurefirebirds.com.  Please click here for tryout information and schedules.

 

First Name
Last Name
Date of Birth (mm/dd/yy)  
Boys/Girls
School
Grade (for '18-'19 school year)
Mother
Father
Step-Mother or Female Guardian
Step-Father or Male Guardian
Address
Address (cont)
City
State
Postal Code
E-Mail Address(s) (separate by ; if  more than 1)
Father Home Phone
Father Work Phone
Father Cell Phone
Mother Home Phone (if different)
Mother Work Phone
Mother Cell Phone
Known Medical Conditions
Emergency Contact
Emergency Contact Phone
Would you like to receive e-mails about Kettering Basketball camps and leagues?
If we need coaches, should we contact you?