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Player Registration Application

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Sport *

Baseball
Basketball
Indoor Soccer
NFL Flag Football
Softball
Marathon

Player Information

Player First Name *

Player Last Name *

Sex *

Player Address 1 *

Player Address 2

Player City *

Player State *

Player Zip *

Shirt Size *

Pant Size *

Age *

Birth Date *

Player Home Phone *

Player Cell Phone

Player Email Address

Name of School *

School Address

Grade *

Mother/Guardian Information: (not required if player is 18 or older)

Mother/Guardian First Name

Mother/Guardian Last Name

Mother/Guardian Address 1

Mother/Guardian Address 2

Mother/Guardian City

Mother/Guardian State

Mother/Guardian ZIP

Mother/Guardian Home Phone

Mother/Guardian Work Phone

Mother/Guardian Cell Phone

Mother/Guardian Relationship to Player

Mother/Guardian Email

Mother/Guardian - Are you Interested in Coaching?

Yes
No

Mother/Guardian - Are you Interested in Sponsorship?

Yes
No

Father/Guardian Information: (not required if player is 18 or older)

Father/Guardian First Name

Father/Guardian Last Name

Father/Guardian Street Address 1

Father/Guardian Street Address 2

Father/Guardian City

Father/Guardian State

Father/Guardian ZIP

Father/Guardian Home Phone

Father/Guardian Work Phone

Father/Guardian Cell Phone

Father/Guardian Relationship to Player

Father/Guardian Email

Father/Guardian Are you interested in coaching?

Yes
No

Father/Guardian Are you interested in sponsorship?

Yes
No

Emergency Contact Information (In case Parent(s)/Guardian(s) cannot be reached):

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Home Phone *

Emergency Contact Work Phone

Emergency Contact Cell Phone

Emergency Contact Relationship to Player *

Total

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