Redemption Team Sign Up

Player Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Player Phone

(###)

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Parent/Adult 1 *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Adult 2

First Name

Last Name

Phone Parent 2

(###)

###

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Would you be interested in volunteering services in the program?

Head Coach

Assistant Coach

Administrative

Other

Players may be photographed or videoed for promotional and instruction use. *

Agree