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MYSL Spring 2014 Registration
Division*
Donation
Grand Total:
Personal Information
Player Name:*Last Name, First Name
Date of Birth:*ex. 05/15/1999
Shirt Size
E-Mail:*Valid e-mail is required
Home Phone:*
Fathers Name:*Last Name, First Name
E-Mail:*Valid e-mail is required
Cell Phone:*
Mothers Name:*Last Name, First Name
E-Mail:*Valid e-mail is required
Cell Phone:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Emergency Contact*Last Name, First Name
Phone:*
Volunteer Information
Medical History
Volunteer
Allergies or Medical History
Waiver and Agree to Follow MYSL Rules
Agree to Medical Waiver and follow MYSL Rules*
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