Athlete Registration Form

EARLY REGISTRATION PRICING: $995/SIBLING ($650 + UNIFORM FEES TBD)

IF PAID AFTER AUGUST 31ST, THE PRICING WILL BE $1095/SIBLING ($695 + UNIFORM FEES TBD)

TINY NOVICE TEAM

$595 (includes competition fees but uniform fees TBD)
Athlete Registration Form
Parent/Guardian Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
ATHLETE INFORMATION

Athlete #1
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
List any existing medical conditions, medication, allergies, and/or special attention your child may require?
ATHLETE INFORMATION

Athlete #2 (If applicable)
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
List any existing medical conditions, medication, allergies, and/or special attention your child may require?
Additional Information
Is there any other information that would be helpful to our management and coaching staff?:

Please give us the names of 2 people whom we can contact in the event of an emergency if we cannot get a hold of you:*

	Full Name	Relationship	Contact Number
1
2

How did you hear about us?:
SIGNATURES AND AGREEMENTS

By signing below you are stating that this application is filled out honestly to the best of your knowledge. All policy procedures and conditions are explained in the parent handbook. Signature: I agree to the conditions of the registration fee and dues for the 2024-2025 season.
Signature*

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Should be Empty:

ATHLETE INFORMATION