UJRL 2024 Youth Heritage Cup Registration

Legal First Name *

Preferred First Name *

Last Name *

Player Email

Player Phone

Parental Permission *

Parent Email *

Parent Phone *

Date of Birth (MM/DD/YYYY) *

Gender *

Female

Male

Address *

City *

State *

Postal code *

Height (H' I") *

Weight (enter the number only in pounds) *

Preferred Positions

What team are you registering with? *

I agree to terms & conditions provided by URLA. By providing my phone number, I agree to receive text messages from URLA.

Once you submit this form an invoice with buy now pay later options will be emailed to you. Please check your spam folder as well if you don't see it within 5 minutes.

If the form will not submit, check above for errors in red.