2018 Early Bird Registration

Accepting 7-14 year olds for Jr. Micro, Micro, Jr. Pee Wee, and Pee Wee   [More Info]

2018 Player Registrations

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I understand I will still need to complete the player contract and supplemental sign up form.

I understand registration is not complete until payment is received. Registration is $200.00 before 03/01/18. Beginning 03/01/18, the fees are $250.00 *Subject to change due to budget.

Payment plans are available - email pdlqsignups@gmail.com.com for more information. **Subject to board approval

To receive early bird pricing, fees must be paid at sign up before 03/01/18. If not paid in full before 03/01/18, fees will increase to the regular rate of $250.00.

All fees must be paid in full at time of signup.
Payment can be made in person at all sign up locations, paid online or mailed to
PDLQ PO BOX 6198 La Quinta CA 92248.
A $5.00 processing fee has been added for all credit card payments.

I understand $100 of my registration fee is non refundable. The remaining amount may be requested for refund through the first week of practice. After the first week of practice there will be no refunds.

I understand that all players must have a physical before they may begin practice.


* required


Payments Accepted By

Note: Credit Card information can be entered once this form is submitted