New Player Registration – Winter Clinic 3&4 Please enable JavaScript in your browser to complete this form. - Step 1 of 2Parent / Legal Guardian Name *FirstLastParent / Legal Guardian Email *Parent / Legal Guardian Phone Number *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlayer Name (Child 1) *FirstLastChild 2FirstLastChild 3FirstLastProgram Options *Winter 3&4 - $200Winter 3 - $120Winter 4 - $1202 Day Trial - $50Daily - $30Daily and 2 Day Trial Dates (Please write Dates below)Payment Option *Zelle/Quickpay to 4142024257 (Joo Yoo)CashCheckEmergency Contact Name / Phone Number / Relationship *How did you hear about us?NewspaperInstagramFriendOtherNextPlayer Name *FirstLastGender *MaleFemaleDay of Birth *Player Phone NumberCurrent Grade *3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolSchool *Player Skill Level *BeginnerIntermediateAdvancedPractice Jersey Size (Optional) - $25YM (Youth Medium)YLYXLYXXLAS (Adult Small)AMALOtherPlease write any Medical Conditions or AllergiesComment or Questions?Submit
