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Player Info

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Gender:

* Grade:

* High School intending to attend:

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:

WAIVER INFORMATION

I fully understand that while my son is participating with the Another Level Sports Eagles 2011 team and Another Level Sports program, injuries can occur.
I understand, agree to, and accept all liability and responsibility that may occur directly or indirectly from my son's participation in the Another Level Sports program, and I release Another Level Sports and any associated groups or facilities from responsibility related thereto and any rights to claims in the future.

I/we agree with the above *

* indicates required fields

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