Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

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Which League are you registering your child for?

Girls Grades 3/4th - (THIS PROGRAM IS NOW FULL - IF YOU WOULD LIKE YOUR CHILD TO BE PLACED ON THE WAITLIST PLEASE CONTINUE THE REGISTRATION PROCESS)

Boys Grades 3/4th - (THIS PROGRAM IS NOW FULL - IF YOU WOULD LIKE YOUR CHILD TO BE PLACED ON THE WAITLIST PLEASE CONTINUE THE REGISTRATION PROCESS)

What grade is your child in?

3rd Grade

4th Grade

Please select Jersey size for your child? *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Are you interested in coaching?

Yes

No