Player Registration Form
Before starting to fill out this form make sure you have a headshot, birth certificate and insurance card ready to upload. Also please read the player packet prior to submitting form,
Player First name
Player Last name
Player Street Address
Player Village/City
Player State
Player Zip Code
Player Date of Birth
Parent #1 First Name
Parent #1 Last Name
Parent #1 Email
Parent #1 Phone Number
Parent #2 First Name
Parent #2 Last Name
Parent # 2 Email
Parent # 2 Phone Number
Emergency contact First Name (non-parent)
Emergency contact Last Name (non-parent)
Emergency Contact Phone Number
Emergency contact relationship to player
Player Picture (headshot)
Select a File
Birth Certificate (picture)
Select a File
Player/Parents Insurance Card (picture)
Select a File
Parent Electronic Signature indicates that you have read and agree with all policies outlined in the player packet sent to you by your team manager
*
Clear
Player Signature indicates that your player has read the player code of conduct and understands expectations of the club.
*
Clear
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