Please Complete Form
Athlete Full Name
*
Athlete Date of Birth
*
Athlete Current Age
*
Fall 2024 Grade Level
*
Athlete Jersey/Short Sizes (designate Youth or Adult Size)
*
Desired Jersey Number
*
One Paragraph Athlete Biography
*
Parent Contact Name and Cell Number
*
What Weekends Are You Unavailable/On Vacation?
*
Any Other Info We Should Know?
Please text a portrait photo of your athlete to Jason Shoup.
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