Home
Player Registration
Teams
About Us
FAQ
Contact
Make a Payment
Northland Elite 2024 Tryout Registration
*
Indicates required field
Athlete Name
*
First
Last
Date of Birth (MM/DD/YYYY)
*
School
*
Grad Yr (ex: 2025)
*
Height (ex: 5'7")
*
Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Grade Level (2023-24)
*
10/11U Girls (4th)
13U Girls (7th)
14U Girls (8th)
12U Boys (6th)
13U Boys (7th)
14U Boys (8th)
15U Boys (9th)
16U Boys (10th)
Tryout to Attend
*
Iowa
Wisconsin/Michigan
Exact tryout times will be adjusted based on numbers.
Primary Parent/Guardian Information
*
First
Last
[object Object]
Email
*
Phone
*
Second Parent Information (Not Required)
*
First
Last
[object Object]
Email
*
Phone Number
*
HEALTH WAIVER
I agree not to hold Northland Elite Basketball Club, Inc. or any of its coaches, volunteers, agents or representatives accountable for any injuries which may be incurred while participating in the program. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in physical activities. If, during the course of my son or daughter’s activities in basketball, he or she should become ill or sustain an injury, I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred through my insurance company.
*
Yes, I agree.
Digital Signature (Parent/Guardian Only)
*
Important:
Anyone who intends to participate in the 2024 season will be required to make a non-refundable $250 roster spot deposit within 14 days of the tryout. The remainder of the balance will be due by the date of the first team practice. Please read our FAQ section for more information.
Submit