Player Questionnaire

Player Name *

First Name

Last Name

Age Group *

12U

13U

14U

15U

16U

Grade Level *

4th or younger

5th

6th

7th

8th

9th or older

Player Birthdate *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Player Phone

By providing a phone number, I hereby consent to receiving occasional text messages from Pantera.

(###)

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What other extracurricular activities do you participate in?

Check all that apply

None

Basketball

Cheerleading / Dance

Choir / Theatre

Church

Orchestra / Band

Softball

Tennis

Track

Other

Are there days of the week that your athlete is not able to participate in practice? *

Check all that apply

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

No conflicts

Parent 1 Name *

First Name

Last Name

Parent 1 Phone *

(###)

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Parent 2 Name

First Name

Last Name

Parent 2 Phone

(###)

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Today's Date *

MM

DD

YYYY