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Academy Registration Form
Please complete the registration form for each player. Please print out the liability release and insurance information forms
here
and return them to Coach Curtis or Tiffany
.
Academy Training Schedule
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* Indicates required question
Email
*
Your email
Athlete's Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Choose
8
9
10
11
12
13
14
15
16
17
18
Grade
*
Choose
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Gender
*
Male
Female
Required
School
*
Your answer
Shirt size
*
Choose
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Short size
*
Choose
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
What are your top 3 jersey number preferences?
*
Your answer
Parent/Guardian Information
#1 Parent/Guardian Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Email
*
Your answer
#2 Parent/Guardian Name
Your answer
Address
Your answer
City
Your answer
Zip
Your answer
Phone
Your answer
Email
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone
*
Your answer
How did you hear about us?
*
Your answer
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