2024 BVC REGISTRATION PAPERWORK
2024 BVC CLUB REGISTRATION
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Email *
PLAYER FIRST NAME *
PLAYER LAST NAME *
BIRTH DATE (00-00-00) *
MM
/
DD
/
YYYY
ADDRESS *
CITY
STATE
ZIP *
CURRENT GRADE (number only)
SCHOOL ATTENDING *
PARENT OR GUARDIAN
PHONE NUMBER *
PRIMARY INSURANCE CO *
POLICY NUMBER *
PLEASE LIST ANY KNOWN ALLERGIES OR MEDICAL CONDITIONS WE SHOULD BE AWARE OF *
UNIFORM INFORMATION:  Travel teams will get 2.  Please select size ONLY IF YOU NEED NEW ONES.
Preferred Uniform Number
Please list any weekends you are unavailable to play
Travel teams: are you available to play on Sundays?
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