Player

First Name

Last Name

Date of Birth

Month

Day

Year

Phone Number

Email

Address

Jersey Size (Normal Fit)

Spandex Size (Normal Fit)

T-Shirt Size (Normal Fit)

Player Preferred Jersey Number (Top Three Choices In Descending Order)

Desired Player Positions (2)

Payment Plan Selection

$400

Registration Fee: $400.00 due today.

Installment Plan: 5 monthly payments of $320.00.

Total Fee: $2000.00

Payments are processed on the 10th of each month from December 10th through April 10th.

Phone

Player Registration