REGISTRATION

Registration - BLACK ICE AND STING REGISTRATION/UPDATE

BLACK ICE AND STING REGISTRATION/UPDATE

HELLO AND WELCOME TO THE BLACK ICE AND STING PLAYER REGISTRATION PAGE:

1) PLEASE FILL IN THE BLANKS USING ALL CAPITAL LETTERS

2) PLEASE FILL IN YOUR DATE OF BIRTH USING THIS FORMAT:
MM/DD/YYYY

3) PLEASE FILL IN THE TELEPHONE NUMBERS USING THIS
FORMAT: 631-123-4567

THANKS
JASON

Name

Address

City, State Zip

Phone

JERSEY #

PLAYER'S DOB

POSITION

RHA #

AAU #

HOME TELE #

PLAYER'S CELL #

PLAYER'S E-MAIL

GENERAL CONTACT PREFERENCE:

PREFERRED TELEPHONE #

PREFERRED E-MAIL ADDRESS

EMERGENCY CONTACT INFORMATION: IF YOU'RE MARRIED, JUST FILL IN YOUR SPOUSE'S INFO AND SKIP YOUR PARENTS INFO. IF NONE OF THE CATAGORIES FIT YOUR SITUATION, PLEASE LEAVE US A NOTE IN THE COMMENTS SECTION

SPOUSE'S NAME (IF MARRIED)

SPOUSE'S CELL # (IF MARRIED)

SPOUSE'S E-MAIL (IF MARRIED)

MOTHER'S NAME

MOTHER'S CELL #

MOTHER'S E-MAIL

FATHERS NAME

FATHER'S CELL #

FATHER'S E-MAIL

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