Capital City TeamWork - (Springfield, IL) - powered by LeagueLineup.com

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CCTW Elite Tryout Registrations

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* School:

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 #:

Capital City Teamwork Elite Teams will cost to play! Also parents are responsible for getting players to and from tournaments!

The fee for each grade
4th-5th $500 a player!
6th-8th $600 a player!
High School Teams $750 a player!

We will offer a fundraiser to help knock off cost of fees. but all fees must be paid at first practice.

I/we agree with the above *

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