1 Player 2019 Spring Season

* Required Fields
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Fee: $155.00
*Player #1 First Name
*Player #1 Last Name
*Player is one of the following.
*Player #1 Date of Birth MM/DD/YYYY
mm/dd/yyyy
*Player #1's Age (ON JANUARY 1, 2019)
*Player #1 (Select Division)
*Player #1 Seasons Played
Don't type in this field
*Player #1 School Attending
Player #1 Family Doctor and Phone Number
Player #1 Medical/Allergies?
*Player #1 Uniform Shirt Size
*Player #1 Pants Size
Player #1 Requested Jersey Number (if available)
*Address
*City
*State
*Zip
*Primary Contact
*Primary Contact First Name
*Primary Contact Last Name
*I am interested in the following.
*Primary Contact eMail Address
*Primary Contact Phone Number
*Secondary Contact
*Secondary Contact First Name
*Secondary Contact Last Name
*I am interested in the following.
*Secondary Contact eMail Address
*Secondary Contact Phone Number
Registration Notes
Please Note:  Payment must be received prior to tryouts or player will not be allowed to try out.
Total Due:
$ 
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