2021 Jr Clutch Spring/Summer AAU Tryout Registration
Boys and Girls / Cost is $35 to Tryout
Email *
Player Information
First Name *
Last Name *
Gender *
Jersey Size *
Shorts Size *
Grade *
Date of Birth *
School *
Home Address
Street Address *
City *
State *
Zip Code *
Parent/Guardian *
Phone Number *
Emergency Contact (Name) *
Emergency Contact Number *
Special Requests
I , the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of the Wyoming Valley Clutch LLC & Catholic Youth Center (CYC). l recognize the possibility of physical injury associated with participating in Wyoming Valley Clutch LLC & CYC sponsored activities, and in consideration for the Wyoming Valley Clutch LLC & CYC providing these activities, do release the Wyoming Valley Clutch LLC & CYC and its staff members from all liability for any injuries sustained while on CYC property and/or participating in CYC activities.
Waiver Acceptance *
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