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*****IMPORTANT*****

IF YOU SIGN-UP AFTER JANUARY 31st, WE CANNOT GUARANTEE PLACEMENT ON A TEAM!

NOTES:  You do NOT need to sign up if you are registering with a Team!  Only those players currently NOT on a team need to sign up.

Child's Name:

 

Gender:

Parent's Name:

 

Parent Interested in Coaching?

Age of Child:

 

Child Birth date:

 

Address:

 

City:

 

Parents Daytime Phone #:

 

Parents Evening Phone #:

 

Parents Cell Phone #:

 

Parent Email Address 1:

 

Parent Email Address 2: