HOME ABOUT US CAMPS ACADEMY FACILITIES RECENT VIDEOS PLAYER REGISTRATION TRYOUTS REGISTRATION CONTACT US Menu HOME ABOUT US CAMPS ACADEMY FACILITIES RECENT VIDEOS PLAYER REGISTRATION TRYOUTS REGISTRATION CONTACT US Facebook Instagram Player Registration Form Name of Child Last Name Date of Birth Age School Name Grade 1 2 3 4 5 6 7 8 9 10 11 12 Address 1 Address 2 City State / Province Postal / Zip Code Parent/Guardian Last Name Daytime Telephone Email Emergency Contact Last Name Cell Phone Relationship to Player Parent/Guardian Grandparent Aunt/Uncle Sibling Other If other please specify. If it does not apply, please put N/A Accident Medical Coverage is second to any other collectible insurance; Primary, if no other insurance is force. We agree with above We disagree with above Send