Junior Player Registration Form

Sell Products *

Half-Day | Full-Week| Youth Development & 10under Summer Camp

$275

Half-Day | Drop In | 10 & under camp

$75

Please enter Session Dates: (Drop in sessions, please enter a date for each session purchased.

Parent Information

First Name

Last Name

Email *

Phone *

Secondary Phone Number

Address

Street Address

City

State

Country

Postal code

Junior Player Information

Participant Name

Participant Gender

Male

Female

Other

Shirt Size

Participant Date of Birth

Age

Parent/Guardian Name

Relationship to Participant

Emergency Contact

Emergency Contact Person

Emergency Contact Relationship

Alternate Emergency Contact Number

Medical Information

Medical Conditions

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Signature

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