Step 1 of 2 50% Player InformationChild's First Name* Child's Last Name* Child's Gender*- Select One -MaleFemaleChild's Date of Birth* Month Day Year Child's Primary Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child's Secondary Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player Position* 2021-22 Team* Select a Level*- Choose One -Mite/8USquirt/10UPeewee/12UMedical conditions or allergies? (If yes, please explain)*Parent InformationPrimary Parent First Name* Primary Parent Last Name* Primary Parent Cell Phone Number*Primary Parent Email Address* Secondary Parent First Name Secondary Parent Last Name Secondary Parent Cell Phone NumberSecondary Parent Email Address Emergency Contact First Name* Emergency Contact Last Name* Emergency Contact Cell Phone Number*WaiverClick here to read the waiver.Consent* I acknowledge that I have read and understand the waiver.*Full Name*This will serve as an electronic signature. Total Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged.