06/07 College Prep Boys Registration

Player Info

Player Name
Gender
MM slash DD slash YYYY
Hidden
Address
Athlete Shirt Size

Parental/Guardian Information

Mother/Guardian Name
Father/Guardian Name

List Name of Person(s) Permitted to Collect Athlete Other Than Parents (If Any)

Name

List Name of Person(s) Permitted to Collect Athlete Other Than Parents (If Any)

Name

Signatures, Disclaimers and Terms of Agreement

Medical Emergency(Required)
Medical Expenses(Required)
Photo Release(Required)
Terms(Required)
Payment Terms(Required)
Signature
By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
MM slash DD slash YYYY

Payment Information

Option(Required)
This field is for validation purposes and should be left unchanged.
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