2023-2024 Junior Indoor League New Player Application

Step 1 of 3: Submit

Submit this form to register for the Junior Indoor League. Players must make an appointment to attend an evaluation session. Submission of this form constitutes agreement to the Waiver and Authorization for use of Photo/Video Likeness. NOTE Enrollment in the Leagues is a commitment to show up and exercise good sportsmanship and agreement to adhere to the Safe Play Guidelines. Failure to do is grounds for dismissal and forfeiture of League fees.

Participant Last Name Participant First Name Gender Date of Birth

Age Grade T Shirt Size Preferred County/Home Club Red/White Players Preferred Club Yellow/Green/Blue Players I prefer to be placed in this JIL League School Attending 2023-2024 Home street address Home City Zip Private Coach Name Private Coach Email Private Coach Cell Parent 1 Name Parent 1 email Parent 1 Cell Parent 1willing to manage a League team ($100 off registration fee) Parent 2 Name Parent 2 email Parent 2 Cell phone Parent 2 willing to manage a League Team? ($100 off registration fee) Emergency Contact's Name Emergency Phone List any physical imitations/medical conditions/allergies I plan to attend this evaluation Registration Fee Are you interested in learning about Team Shirt Sponsorship? How did you hear about JIL? Participant Email (if available) Any comments/questions Electronic Signature of JIL Parent/Guardian

Date: Sunday, 12 May 2024 (EDT)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

Scan this QR code with your phone:

I have read and agree to this waiver

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