Please complete each section and click the "submit registration" button at the bottom of the form.  PRE-REGISTRATION ONLY

1. PLAYER INFORMATION:

 
Please type PLAYER REGISTRATION in this line:
*First Name:
*Middle Initial:
*Last Name:
*Gender:
*Birth Date (mm/dd/yyyy): / /
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone: --

 

2. CONTACT INFORMATION:

An e-mail address is required and very important for club announcements, game cancellations, etc.

 
*E-mail:
*E-mail (Verify by retyping):
I do not have an E-mail:

 

3. PARENT/GUARDIAN INFORMATION:

Parent/Guardian #1

 
*First Name:
*Last Name:
Home Phone: --
Work Phone: --   ext.
*Relationship:

Parent/Guardian #2

 
First Name:
Last Name:
Home Phone: --
Work Phone: --   ext.
Relationship:

 

4. EMERGENCY INFORMATION:

 
*Emergency Contact:
*Emergency Phone Number: --

 

I understand that I am expected to assist my team with meeting their team volunteer commitments.
Please review all information entered for accuracy and completeness, then click on the appropriate button below to continue the registration process.

Pete Cinalli, Director of Coaching
FASA Hotspurs.  All rights reserved.
Revised: June 09, 2006 .