Player's Information

Register's Information

Home Address:*

City:* State:* Zip Code:*

Email:*

Emergency Contacts

Father's Name: Phone #: Email:

Mother's Name: Phone #: Email:

Guardian's Name: Phone #: Email:

Two Emergency Contact Names, Relationship to Child and Phone Numbers:

Medical Insurance Company:

Physician Name/Number:

Forms

Please read the forms below before submitting your registration:

General Information Form

General Information - Parents/Legal Guardian - *Please enter your initials:

Liability Forms

Please read the liability forms below to determine which form is applicable to you. Please answer both questions.

Limitation of Liability for Minor Participants - *Please enter your initials or enter NA if this form is not applicable to you:

Limitation of Liability for Participants - *Please enter your initials or enter NA if this form is not applicable to you:

Medical Release Form

Medical Release Form

Please acknowledge you have read this form*:
---Yes

Other Participation

Fundraiser Commitment Letter

Will you participate in the Fundraiser?*
---I Will ParticipateI Will Not Participate

Do you have interest in being a Coach?---YesNo

Do you have interest in being a Referee ?---YesNo

Do you have interest in being a Team Parent ?---YesNo

*All registration fees must be paid in full after submission. You'll be redirected to Paypal after submitting your registration.