Player Information
Player Full Name
*
Birth Date
*
Month/Day/Year
Age
(as of Sept. 30 this year)
*
As of September 30 of this year
School
*
Current Grade Level
*
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Permission To Be A Borrowed Player
*
Yes
No
Do you give permission for your child to called up to the next higher league as a borrowed player if needed as a temporary substitute?
Medical Information
Medical Conditions or Physical Disabilities
*
Yes
No
If Yes, Explain
Is The Above Candidate Covered By Medical Insurance?
*
Yes
No
Parent Information
Parent or Guardian Full Name
*
Home Phone #:
*
(
)
-
E-mail Address
Address
Street Address
*
City
*
Zip
*
Volunteering
Check the appropriate boxes if you are interested in any of these volunteer positions
Trustee
Manager
Assistant Manager
Coach
Activity Volunteer