PLAYER REGISTRATION

Player's First Name(required)

Player's Last Name(required)

Player's D.O.B. (01/01/2001)(required)

Player's Grade (2018-2019 School Year)(required)

Player's Address(required)

City, ST, Zip Code(required)

Height(required)

Player's School(required)

Shirt Size/Pants Size(required)

Jersey number (3 options)(required)

Parent's Name (FIRST/LAST)(required)

Parent's Phone Number XXX-XXX-XXXX(required)

Parent's Email Address(required)

Emergency Contact Name (FIRST/LAST)(required)

Emergency Contact Phone Number XXX-XXX-XXXX(required)

I have read and agree to the DREAM CATCHERS WAIVER(required)