2022 08 Minnesota Generals Practice Player Registration Form

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* required fields
Player First Name *
Player Last Name *
Player Birth Date *

Month Day Year
Player Position *

Forward Defense Either Forward or Defense Goalie
Parent Name *

First Name Last Name
Parent Phone *

Area Code Phone Number
Parent E-mail *
example@example.com
Parent 2 Name

First Name Last Name
Parent 2 Phone

Area Code Phone Number
Parent 2 Email
example@example.com
Address: Street *
City *
State *
Zip Code *
Comments / Questions:
Liability Waiver (Enter initials) *
Review waiver and agree below
A payment is due with this registration.

For payment plans, your card on file will be charged on the due date, should the charge fail, you will receive an invoice that can be paid online via credit card or ACH transfer.

Payment *

MN Generals - Practice $ 550.00

You will receive a confirmation email once this form has been submitted. You may also print a copy of this form for your records.
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