You're not being timed...so don't rush!

Name *

Name

First Name

Last Name

Registration Type *

Date of Birth *

Date of Birth

YYYY

Gender *

Female

Male

T-Shirt Size *

Uniform Size *

Which Sport(s) has your athlete competed in:

Track & Field (indicate events below)

Basketball

Football

Soccer

Lacrosse

Baseball

Other(s) (indicate below)

Enter events along with PRs or other sports here

Additional Information

Provide details you believe would be pertinent to the coaches (i.e. goals, expectations or past experiences with other programs)

Shoe Size *

Parent/Guardian's Name *

Parent/Guardian's Name

First Name

Last Name

Address

Please at the least include City and Zip.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Cell Phone Provider (If you wish to receive text message)

Email *

Emergency Contact

First Name

Last Name

Emergency Contact

(###)

###

####

Family Physician

First Name

Last Name

Family Physician Contact

(###)

###

####

Current Medications

Known Allergies