Player's first name: ____________ Player's last name: _______________ Gender:_______ Age:________ Phone Number: ________________ Parent's or Guardian's full name: ___________________________________ Address: _________________ City: __________ Zip Code: ____________ E-mail Address: ______________________________________________
Player's shirt size: (circle one) S M L XL or S M L XL 2XL 3XL (Youth size) (Adult size)
(NOTE: if you received a shirt last season, please do not order this year)
I hereby waive and release the supervisor or any volunteer from any and all liability for and injuries or illnesses inferred while playing. I also give permission for my child to be photographed and used for promotional support.
Signature of parent or legal guardian: __________________________ Date: _______________