2017 MPHL Player Registration
Player Information
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City
Your answer
State
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Zip Code
Your answer
Home Phone
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Cell Phone
Your answer
Email
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Birthdate
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Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Parent/Guardian Information (Players Ages 13-18)
If you are between the ages of 13 to 18, please list your parent or guardian contact information.
First Name
Your answer
Last Name
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
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