Miracle League of Johnston County Registration Form
The registration fee is $25 per child. For families that may need it, we offer assistance with this fee. Please contact Monty McLamb for more information. (919-291-1797) You may also register in person at the Smithfield Recreation and Aquatics Center at the park. Opening Day is Spetember 8th at 9:00am at the Community Park. First-time players are encouraged to come out and see what the Miracle League is all about.
Player's First and Last Name *
Your answer
Player's Date of Birth *
Your answer
Player's Shirt Size *
Required
First Parent/Guardian First and Last Name *
Your answer
Second Parent/Guardian First and Last Name
Your answer
Street Address or PO Box *
Your answer
City *
Your answer
State *
Required
Zip Code *
Your answer
Best Phone Number to Reach You? *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
What school does your child attend?
Your answer
Please list any special needs or concerns we may need to be aware of while your child is playing with us.
Your answer
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