Falcons Basketball Club

Team Roster Form
Please enter your conflicts, and all your contact information.

Player Name*

First

Last

Grade in 2010/2011*

Parent Name*

First

Last

Relationship*

Email*

Phone Number*

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Parent Name

First

Last

Relationship

Email

Phone Number

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Parent/Guardian Name

First

Last

Relationship

Email

Phone Number

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Conflicts

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Player evaluations take place on Mondays, Tuesdays and Thursdays.

For grades 2nd - 5th the time is 5:30 - 7PM.

For Middle School and older the time is 7-8:45PM.

Teams are forming for winter team play.

Locations for practice and evaluations are located at The St. Louis Fieldhouse.

140 Long Rd.
Chesterfield, MO 63005