Players Name: Check if New Player

Address City Zip:

Phone: Gender Male Female Date of Birth:

Email:

Grade: Pre-K4 Pre-K5 K 1st 2nd 3rd 4th 5th 6th pre-k4 = 9-1-2007 thru 8-31-2008/pre-k5 = 9-1-2006 thru 8-31-2007

Jersey Size YS 6-8 YM 10-12 YL 14-16 AS 34-36 AM 38-40 AL 42-44 XL 46-48

PARENT/GUARDIAN

Fathers Name: Cell: Work

Mothers Name: Cell: Work

VOLUNTEERS NEEDED FOR COACHES AND SPONSORS:

Coach Assistant Name:

Sponsorship: Name:

Select payment method:

Paypal/Credit Card
Mail a Check
Pay Later

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