May 1st thru July 9th $80 per player + $20 Equipment Rental = $100+ 2 Siblings $60 + $40 Equipment Rental = $100
July 10th thru August 10th $100 + $20 Equipment Rental + $20 late reg. fee = $120+ 2 Siblings $60 + $40 Equipment Rental + $40 late reg. fee = $140
Player First Name:
Player Last Name:
Player Date of Birth:
Player Gender:
Full Street Address:
Home/Primary Phone Number:
Grade, Fall 2017:
School Name, Fall 2017:
Medical History: Allergies, Medications, Special Conditions, etc.
Returning Player or New?
Shirt Size:
Weight:
Full Name:
Email Address:
Cell/Primary Phone:
Work Phone:
Relationship to Player:
SUBMIT AND PAY