Valdosta City Lakercats - (Valdosta, GA) - powered by LeagueLineup.com

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VALDOSTA CITY LAKERCATS 2024 REGISTRATION FORM (14u/8th - 13u/7th)BOYS/GIRLS

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

ALL FEES ARE NON REFUNDABLE. PARENTS OR GUARDIANS AGREE TO MAKE ONE TIME PAYMENT OR PLAYER IS SUBJECT TO MISS TOURNAMENT PLAY. PARTIAL PAYMENTS WILL NOT BE ACCEPTED. I/WE AGREE TO PAY $264.00 By March 13, 2022.

I/we agree with the above *

THE VALDOSTA CITY LAKERCATS STAFF WOULD LIKE TO THANK YOU FOR ALLOWING US TO EXPOSE YOUR CHILD TO AN EXCITING AND COMPETITIVE BASKETBALL EXPERIENCE. WE LOOK FORWARD TO DEVELOPING PLAYERS FOR THE NEXT LEVEL AND BEYOND.

THE VALDOSTA CITY LAKERCATS STAFF
THE VALDOSTA CITY LAKERCATS ARE A NON-PROFIT 501c3 ORGANIZATION

* indicates required fields

Valdosta City LakerCats Registration Fee($264) *