RBLL- Empire South

After this form is submitted you will be directed to the payment page. Your registration will be marked complete when both the form and payment are submitted.

Full Name * Email * Position * Lefty or righty * Player bio * Player Type * Select an option:845 Silver Foxes ProtectedNYC ProtectedHudson Valley ArsenalFree Agent Payment Type * Select an option:Player Payment ($255 USD)Goalie Payment ($160 USD)

Pop out Full screen

Pop out Full screen

Signature Agreeing to the Waiver and Terms Listed Above *

Date: Wednesday, 14 April 2021 (EDT)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

Sign above

Clear Use This Signature

Close Capture Signature

* indicates required fields