Clone of London Garter Snakes Registration

Player Name

First NameLast Name
Player Birth Date

MonthDayYear
Player Position
Jersey Size
Parent Contact Name

First NameLast Name
Parent Contact Phone
Format: (000) 000-0000.
Parent Contact E-mail
example@example.com
Parent Contact Name

First NameLast Name
Parent Contact Phone
Format: (000) 000-0000.
Parent Contact E-mail
example@example.com
Special Requests: (play with friends etc....)
Payment
Registration is not completed until payment is forwarded to londongartersnakes@gmail.com
Should be Empty: