Tryouts: - Chickies Rock Basketball Club

Player Name: First
MI Last
___ __
Registration Form
Date of Birth:______ _ _ _ _
Address:
City: State:
Zip Code: ___ _ _ _
Phone #:
E-mail ______ _ _ _ _ _ _ _ _
Schools & Districts that have had
players who represented Chickies
Rock Teams:
Blue Mountain
Cedar Crest
Cocalico
Columbia
Conestoga Valley
Cumberland Valley
Donegal
Eastern York
Parent/Guardian: ___ _ _ _ Eizabethtown
Relationship:
Phone #:
Prior Player: Yes No
If prior player, last year’s team/coach:
Jersey Size: Short Size
School District: Grade:
Preferred Position:
Check #: Amount: $
Date Paid:
Years of Experience:
CreditCard#:
Exp. Date: Type(circle):
Visa Mastercard Discover
The liability disclaimer must be
signed by the player’s parent or legal
guardian and the tryout fee must be
paid prior to player trying out.
Mail pre-registration form with $25
tryout fee to: Chuck Trissler, 121
Saddleback Drive, Marietta, PA
17547. Checks are to be made
payable to: Chickies Rock
Basketball
Ephrata Garden
Spot Hempfield
Lampeter Strasburg
Lancaster Catholic
Lancaster Country Day
Lancaster Mennonite
Lebanon
Lebanon Catholic
Lancaster School District
Manheim Central
Manheim Township
Middletown
Northeastern
Palmyra
Penn Manor
Pequea Valley
Red Lion
Solanco
Trinity
Warwick
Tryouts for the 2012
Season!
February 25th & 26th
• Practices begin in March
• Season ends in June
• Each team will compete in
a minimum of four
tournaments
• Tryout participants only
need to attend one tryout
session
• All participants will
receive a tryout shirt and a
2012 AAU card that can be
used for any sport.
Improving basketball in and
around Lancaster County
through teaching physical
and life skills.