"*" indicates required fields 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child's Secondary Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player Position* 2022-23 Team* Select a Level*- Choose One -K/1st Grade Mite [SOLD OUT]2nd/3rd Grade Mite [SOLD OUT]Select a Session*- Choose One -Spring [SOLD OUT]Summer [SOLD OUT]Medical 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 serves as an electronic signature. Transaction Fee Price: $0.00 Total Credit CardCard Details Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. Δ