Requested Information
Player First Name:
Player Last Name
Player DOB:
Grade:	- Choose an Option - 1 2 3 4 5 6 7 8 9 10 11 12
Player Gender	- Choose an Option - Male Female
School Attending:
Parent Name:
Parent Email(s):
Parent(s) Cell:
Player address	- Choose an Option -

Waiver Agreement:
I agree to the waiver seen below.	I AGREE

Additional Info
Comments: