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.
* Required
Email address
*
Your email
Player First Name
*
Your answer
Player Middle Name
Your answer
Player Last Name
*
Your answer
Player Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other:
Player Grade Level
*
6th
7th
8th
9th
10th
11th
12th
Other:
Name of School player is Attending?
*
Your answer
Player Cell Number (if available):
Your answer
Street Address 1:
*
Your answer
Street Address 2:
Your answer
City:
*
Your answer
State:
*
Your answer
Postal Code
*
Your answer
Primary Contact Email for email list and communication (if multiple, please separate each by a semicolon):
*
Your answer
Primary Contact Phone Number (if multiple, please separate each by a semicolon):
*
Your answer
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