Player Registration

Enrollment Information		Contact Information
Select League:		First name:*
The date today is:	MM DD YYYY	Last name:*
I am a:		*Address 1:**
and I am:		Address 2:
Which age group are interested in?:		City:
I am enrolling for:		Postal:*
Players Date of Birth::	MM DD YYYY	Phone:*
		Cell Phone
IMPORTANT: Fee's $150 - Rep Winter Camp $700 - OVFL Rep Bantam, Junior & Varsity $495 - OMFL Rep Tyke, Atom, Peewee $395 - House League If you need financial assistance to meet the fee requirement WE CAN HELP but we NEED TO KNOW NOW!		Player Email:*
		*Parents email:**
		Medical Issues:
I would like help to make the fee.: