Parent/Guardian Information

Name

2nd Email

3rd Email

Phone Number

2nd Phone Number

Address

Player Information

Name

Gender

Date of Birth

T-Shirt Size

Medical Conditions

Allergies

Player's Preferred Position

Player's Last Club(s)

Name

Phone Number

Relation to Player(s)

Payment Plan

Total

$0.00

PLAYER AND PARENT AGREEMENT **PLEASE READ CAREFULLY**

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WAIVER LIABILITY FORM **PLEASE READ CAREFULLY**

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