Winter Camp Register

I'd Like to Register for:

I'd Like to Register for: Showcase Team Tryouts Winter Camp
Player Name
Parents Name
Player Phone Player Phone - ### - ### ####
Parents Phone Parents Phone - ### - ### ####
Player Email
Parent Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Age as of next May 1st
Date of Birth Date of Birth / MM / DD YYYY
School Attended
Coach at School
Coach's Phone Coach's Phone - ### - ### ####
Positions
Brief explanation of playing history
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