WAIVER/ INFO

Please complete the following information

Address: 1412 Tolland Turnpike, Manchester and 252 Depot Rd, Milford. When you come to the facility bring your own ball and water.
Athlete is training at the:*

Manchester CTMilford CT
Athlete's Name*

First NameLast Name
Athlete's Grade*
Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Phone

Area CodePhone Number
What Town Are You From?*
Is the athlete coming with a team? If so, please provide the team name below:
Should be Empty:

Please complete the following information