SUMMER 2015 GIRL'S TRYOUT REGISTRATION FORM
First Name *
Last Name *
High SchoolGraduation Year *
Position *
High School / Middle School / Youth Program*
2014Playing Level *
Years Playing*
Age as of Jan. 1, 2015 *
Date of Birth (MM/DD/YYYY) *
Your email address *
Home phone number *
Cell phone number *
(yours or parents)
Address *
City *
State *
Zip Code *
Emergency Contact *
Emergency phone number *
Name of Insured *
Insurance Provider *
Insurance Policy Number *
Program Selection*
Additional Information you would like to give:
LIABILITY RELEASE & WAIVER
Please read the following Liability Release and Waiver and place a check mark if you agree to the terms then click SUBMIT to send the form.

I have read and accept the terms of the Release and Waiver of Liability,  
Assumption of Risk, Indemnity and Parental Consent, and Use of
Photographs and Images AGREEMENT
(ABOVE)