2017 Try Out Registration Form

2017 JCC Maccabi Games
Try Out Registration Form
Completion Instructions:
1. Fill out Form (as a PDF, or print and fill out)
2. Place Signature in designated area
a.
b.
c.
Click “Fill & Sign”  Upper right of PDF
Click “Place Signature”
Place Signature in Designated Area  Above “Parent Signature” at bottom of Pg. 2
3. Save and email to [email protected], or print and bring to desired tryout.
Athlete Name ______________________________ Tryout Date & Sport: ________________
Gender: ___________
JCC Member (Y/N): _______________
JCC Member Number: _______________
Date of Birth: _____________ Age as of July 31, 2017: ______
School _________________________________ Current Grade (Spring 2016) ___________
Athlete’s Email Address _________________________________
Address ____________________________ City _____________ Zip _____________
Athlete’s Cell Phone ________________________
Synagogue: ________________________
Mother’s Name________________________*Mother’s Email____________________________
Address (if different)___________________________________
City __________________ Zip ___________
Mother’s Cell Phone_______________
Father’s Name________________________*Father’s Email_____________________________
Address (if different) ________________________________
City __________________ Zip ___________
Father’s Cell Phone__________________
Please complete Page 2.
Page 1
Athlete’s Preferred Sports for 2017
Athletes are encouraged to try out for as many sports as they wish to maximize their chances of being selected
for a team or individual sport on Team Dallas. Please indicate the top three Team Sports you are interested in
playing at the 2017 Maccabi Games (in order of preference) [Possible Team Sports: Baseball, Basketball,
Volleyball, and Soccer]:
(1) ______________________
(2)______________________
(3)______________________
Please indicate all Individual Sports you are interested in playing at the 2017 Maccabi Games (in order of
preference):
___Table Tennis
___Swimming
___Track & Field
___Tennis
___Dance
___Star Reporter
___Golf
__________________________
Athlete signature
__________
Date
___________________________
Parent signature
Page 2
__________
Date