|
|
Player Name: __________________________________________________
Address : __________________________________________________ Birthdate: __________________
Address 2: __________________________________________________ League Age: __________________
City/State/Zip:__________________________________________________ Gender: __________________
Home Phone: ______________________________________________ League: __________________________
Email: _________________________________________________ League Fee: __________________
Parent #1 Parent #2
|
Name _______________________________ Phone _______________________________ Email _______________________________ Occupation ________________________________ |
Name _______________________________ Phone _______________________________ Email _______________________________
Occupation
_______________________________ |
Medical Information
|
Emergency contact _________________________________ Phone ______________ Relationship to player _________________________________ Insurance carrier _________________________________ Policy ______________ |
Parent Volunteer Options
Coach _____ Asst Coach _______ Auxiliary _______Field Maintenance _______ Referee_______
Please volunteer. Any time you can give is greatly appreciated. Help us make a difference in our youth.
Signature ___________________________________________________ Date __________________
Shirt ________ Shorts _________ Amt Pd___________ How Pd _________ League Official ____
