2018-19 Iowa Rockets - Parent/Player/Coach Information
2018-19 Iowa Rockets Player info for Rockets Club Directory. Please complete the information for your player and your family. This information is used to create the Iowa Rockets Team & Family directory.
Player's first name *
Your answer
Player's last name *
Your answer
Player's home street address *
Your answer
Player's home city *
Your answer
Player's home state *
Player's home zip code *
Your answer
Area of the State (community)
Player's home phone *
example: xxx-xxx-xxxx
Your answer
Player's cell phone *
example: xxx-xxx-xxxx
Your answer
Email Addresses
Provide ONE primary email address so we can contact the parents. You may include additional email addresses, too.
Primary email address *
Your answer
Email #2 (optional)
Your answer
Email #3 (optional)
Your answer
Email #4 (optional)
Your answer
Mom's name
enter first and last (e.g., Mary Smith)
Your answer
Mom's cell phone
example: xxx-xxx-xxxx
Your answer
Mom's work phone
example: xxx-xxx-xxxx
Your answer
Dad's name
enter first and last name (e.g., John Smith)
Your answer
Dad's cell phone
example: xxx-xxx-xxxx
Your answer
Dad's work phone
example: xxx-xxx-xxxx
Your answer
Rockets Team *
Last year's jersey number
Your answer
Player's date of birth *
MM
/
DD
/
YYYY
School you attend
Your answer
Grade
Status (Player, Coach) *
you may select one or more, or leave blank
Required
Comments
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