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New Player Registration

*Last Name
*First Name


*Age

 
*                Date Of Birth(mm/dd/yy)

*Address
Address
*Home Phone(with area code)-no dashes

*City
*State
*Zip
*School                                   Grade

Mother's or Guardian's Last Name
Mother's or Guardian's First Name		   
Father's or Guardian's Last Name
Father's or Guardian's First Name

Address
Address
Address
Address

City
State                    Zip
City
State                    Zip

Home Phone-no dashes
Work Phone-no dashes
Home Phone-no dashes
Work Phone-no dashes

Other Phone-no dashes
Email
Other Phone-no dashes
Email
In future, I would like to receive TYBA information by
Child lives with
IN CASE OF EMERGENCY, IF WE CANNOT REACH YOU, WHOM DO WE CONTACT?

*Last Name
*First Name		   
Address
Address

City
State                    Zip
*Relationship to child

*Home Phone-no dashes
Other Phone-no dashes
My child MUST practice            
Note: Only select days of the week if your child MUST practice those days.
A coach cannot draft your child against your listed "Must Practice" days.

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