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Player Name *

First

Last

What grade is the Player in? *

If between grades, list the grade the Player will be in at the start of the next school year.

What level is the Player? *

Beginner, Intermediate, Advanced

What size Jersey? *

Preferred Jersey Number & Secondary Number *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

How did you hear about us? *

Team Season Fee *

Price: $150.00

Stripe Credit Card *

Total

$0.00