I have a child born in 2009, 2010, or 2011 that would be interested in playing in the experimental program.

Player's First Name *

Player's Last Name *

Birthdate *

Girl or Boy *

Girl

Boy

Do you care if the division is Co-ed? Our desire is to have girl and boy divisions but if numbers are low we may be forced to consider Co-ed *

I don't want co-ed

I am fine with co-ed

Full Name *

Phone

Email *