2010 Spring
Registration Form
Pre K- (4 years old) ----- 8th
Grade
Contact
info—732-233-1215
Registration dates and
other information available online at
Registrations are NOT accepted by mail.
You must register in person or online.
(PLEASE PRINT)
Player Name:
______________________________________________ Phone: _________________
Parent or Guardian: ____________________________________ - Cell# ______________________
Address:
________________________________________________________________________________
Street City
State Zip
PRINT ---à Email Address:
_______________________________________________________________
Email is held and used by
Circle one ---à> BOY GIRL
Date of Birth:____________________ Grade:_____________
Example:
Child
(First Child) $75.00
Additional children $50.00
COST:
$75.00 first child
First
Child $ ____________
($50.00 per
additional child) Additional Child $_____________
Additional
Child $_____________
Additional
Child $_____________
LATE FEE:
A late fee of $20 shall be applied after FINAL WALKUP REGISTRATION DATE
~ All returned checks
will be subject to a late fee of $20.00 ~ $_________________
I would like to COACH (all coaches are subject to background check)
Coach shirt size Adult (circle one)
Small Medium Large XL XXL
TOTAL $ _____________
Circle one
CHILDREN UNIFORM SHIRT SIZE – Child - Medium (10-12) Large
(14-16)
Adult
- Medium
(38-40) Large (42-44)
SOLICITATOR ________________________