REGISTER BELOW

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Player First Name*

Player Last Name*

Age Group (Player's age On May 5th, 2016 will determine Spring age group)*

CHOOSE BELOW: 7u 8u 9u 10u 11u 12u 13u 14u 15u 16u 17u 18u

Player Birthdate*

Date Trying Out*

CHOOSE BELOW: January 3rd | 6u-13u | 9am - 12pm January 3rd | 14u-18u | 1pm - 4pm January 10th | 6u-13u | 9am - 12pm January 10th | 14u-18u | 1pm - 4pm

Parent(s) Names*

Main Email Contact*

Secondary Email Contact (not required)

Main Phone Contact*

Last Team Played On (Organization and Age Group)*