2026 Winter Travel Team Registration

Parent / Legal Guardian Email *

Parent / Guardian Phone Number *

Player Name *

First

Last

Date of Birth *

Current Grade *

Package Option *

Choose Your Preferred Practice Days - Contact coach Mark for scheduling conflicts *

Grace Church in Wheeling - practices will be between 5-7PM. PHH Combined Time: TBD.

Game Uniform: Mandatory for New Player *

Practice Jersey: Mandatory for New Player *

Uniform Size (Jersey & Shorts)

Jersey Number (Please write top 3 choices in order)

Payment Option *

City of Residence

For Carpool Accomodations

Please write any Medical Conditions or Allergies

Comment / Questions