Kickball Registration 5-7 Register below. PlayerFirst Name*Last Name*Birth Date*GenderParent / GuardianParent/Guardian First Name*Parent/Guardian Last Name*Email*Phone*Street Address1CityPostcode / ZipHealth Care InformationDoes your player have any known medical conditions?YesNoMedical ConditionsDoes your player have any known allergies?YesNoAllergiesInsurance Provider*Policy Number*Parental Consent for Minor’s ParticipationTo review the Release and Waiver of Liability and Assumption of Risk Agreement click here.Waiver*I have read and understood the document above.Register Error occured. Please confirm your data and submit again:
