You are registering for Elite 2023-2024 Player Registration Form

Registration Form created by Bre Barnes

Note/Comment icon Please fill out this registration form completely.
You have been provided with a written contract with player expectations please review those as well.
The information provided will be included in the player file as a binding contract
Any credit information will be charged to your card provided and this is a binding contract.
Please contact us directly with any additional questions.

Players First name (legal spelling)*
Players Last name (legal spelling)*
Players Full Birthday (DD/MM/YYYY)*
Parent name*
Additional Parent Name
Parent contact number*
Best contact email address *
Additional contact email
ACH credit card # - Only if doing payments
ACH credit card exp. date MM/YY
ACH credit card zip code of card
ACH credit card 3 digit code on back of card
ACH Credit card, DATE OF WITHDRAWL request
ACH credit card Full name on Card
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