2020-2021 Academy Registration
Please fill out this information as accurately as possible. This information will be used to get you on the team email list and can be contacted in case of emergency.
Email address *
Player First Name *
Player Middle Name
Player Last Name *
Player Date of Birth *
MM
/
DD
/
YYYY
Gender *
Player Grade Level *
Name of School player is Attending? *
Player Cell Number (if available):
Street Address 1: *
Street Address 2:
City: *
State: *
Postal Code *
Primary Contact Email for email list and communication (if multiple, please separate each by a semicolon): *
Primary Contact Phone Number (if multiple, please separate each by a semicolon): *
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