Open Gym Pre-Registration
Please complete the registration form and submit. Completed form will be available at check in table.
Players First Name *
Your answer
Players Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Current Age *
Date of Birth *
MM
/
DD
/
YYYY
Current Attending School *
Your answer
Attending School for 2017-2018 *
Your answer
Grade Level for 2017-2018 School Year *
Playing Position *
Your answer
Mothers Name *
Your answer
Mothers Cell Number *
XXX-XXX-XXXX
Your answer
Fathers Name *
Your answer
Fathers Cell Number *
XXX-XXX-XXXX
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Previous Experience / Comments
Please list positions played in previous Clubs, Schools and or Rec leagues.
Your answer
If previously played in competitive club ball please list club name.
Your answer
Submit
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