J’Ville Community Day Pre-Registration
Full Name
First Name
Last Name
What is your child (children's) age?
What is your child(children's) gender?
Please Select
Male
Female
N/A
Contact Number
Email Address
example@example.com
Are you a returning player or cheerleader?
Yes
No
Please choose age level interest
Please Select
6u
8u
10u
12u
13u
14u
N/A Not interested
Raffle Ticket Purchase # of tickets
TV($10)
Deep Fryer ($5)
Submit
Should be Empty: