2018 Fall JBL Adaptive Sports Player Registration Information Form
Thank you for registering for Jacob's Buddies League Adaptive Sports Program.
Please provide the information below so we can prepare for our upcoming season.
Please Note: You will be directed to our partner Liverpool FC IAA Bay Area website upon submission of this registration form to complete your secure payment. *
Required
Player's First Name *
NOTE: We will use this name for any printed items like certificates, etc.
Your answer
Player's Last Name *
Your answer
Player's Nickname/Preferred Name *
What does your player preferred to be called on the field?
Your answer
Player's Birthdate *
(MM/DD/YYYY)
Your answer
Player's T-Shirt Size *
Player's School (2018-19 School Year) *
Your answer
Player's Grade in School (2018-19 School Year) *
Select One . . .
Primary Address *
(ex: 123 Main St., San Jose, CA 95120)
Your answer
Player living with: *
(Please choose one)
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