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 *
Player's Date of Birth *
Player's Shirt Size *
Required
First Parent/Guardian First and Last Name *
Second Parent/Guardian First and Last Name
Street Address or PO Box *
City *
State *
Required
Zip Code *
Best Phone Number to Reach You? *
Primary Email Address *
Secondary Email Address
What school does your child attend?
Please list any special needs or concerns we may need to be aware of while your child is playing with us.
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