2018 MPHL Player Registration
Player Information
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Home Phone
Cell Phone
Email *
Birthdate
Emergency Contact Name
Emergency Contact Phone
Parent/Guardian Information (Players Ages 13-18)
If you are between the ages of 13 to 18, please list your parent or guardian contact information.
First Name
Last Name
Home Phone
Cell Phone
Email
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