CRLA Athleticship Application

CRLA offers a limited number of athleticships to players each season.  All inquiries are strictly confidential and are subject to approval from the CRLA Athleticship Committee.  This application can cover multiple siblings in one family.

Please provide a copy of your medical insurance card for any child(ren) applying for athleticship. You can email them to 

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Parent #1 Name *
Parent #1 Email *
Parent #1 Cell *
Parent #2 Name
Parent #2 Email
Parent #2 Cell
Street Address *
City *
State *
Zip *
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