REGISTRATION FORM
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Try out assigned #:
_________________
Last Name: ________________________
Sport: _____________________________
First Name: ________________________
Destination: ________________________
Travel date: ________________________
Travel to originate from (Name of city & state): ____________________
Address: ____________________________________________
City: _________________________
State: ___________ Zip Code: ______________
Home phone: (__)__________________
other phone: (__)__________________
E-mail address: ____________________
Parents' E-mail ______________________
Date of Birth: ____/___/____
Age: _____Sex: _____ Height: _____ Weight: ______
Present Team/group: ________________
School: ___________________________
Name of Coach: ________________________
Phone: (__)______________________
Main playing position: _________________ other position:
_____________________
Grade level: ________
ABILITY LEVEL: ________ UNIFORM SIZE:
5 = Top 5% Shirt: ____
4 = Traveling/Competition Team
3 = Varsity letter/AAU Team T-shirt: ____
2 = Senior League
1 = Recreational Pants: ____
_________________________________________________
Signature Date