ADL Registration

PARENT GUARDIAN INFORMATION
Name*
First Middle Last
Relation*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Mobile Phone*
Email*
Enter Email Confirm Email
Gender*
PLAYER INFORMATION
Name*
First Middle Last
Gender*
Date Of Birth*
Date Format: MM slash DD slash YYYY
Height
Weight
Shirt Size
Short Size
PAYMENTINFORMATION
Payment*
$110.00 Per Player/ Per Session
Fees Due in Full at Sign Up
Cal South Player Registration Form Required (Each Season)
Program Location*
Today's Date
Date Format: MM slash DD slash YYYY
ADL REGISTRATION
Convenience Fee
Price: $0.00
Total
$0.00
Terms Agreement*
- I agree to the terms above
Signature of Parent/Legal Guardian*