Information

Are you interested in a National Team or Regional Team? National Teams Travel Further & Regional Teams Play within an 1-1/2 hours of Rockford:*

National Team

Regional Team

Either National or Regional Team

Last Name:*

First Name:*

City:*

Gender:*

Male

Female

Double check that birth date is correctly entered.:*

Current School Name:*

School Name for the 2022-2023 School Year

Parent/Guardian First Name:*

Parent/Guardian Last Name:*

Phone Number Please Use This Format XXX-XXX-XXXX:*

Parent/Guardian Email:*

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Phone Number Please Use This Format XXX-XXX-XXXX:

Parent/Guardian 2 Email:

If you are new to the Wildcats & a current Wildcat family referred you to the program, please give us that family name::

SportsEngine Registration: Midwest Wildcat Basketball