Boys Contact and Uniform Information

Please fill out information below with your contact and uniform information

Player Name:*
Player Birthdate (mm/dd/yy):*
Player Height (example 6'2"):*
Player School*
Player E-mail:*
Player Phone #:*
Player Team:*
Parent 1 Name:*
Parent 1 Phone #:*
Parent 1 E-mail:*
Parent 1 Relation:*
Parent 2 Name:
Parent 2 Phone #:
Parent 2 E-mail:
Parent 2 Relation:
Roshambo - Black/Grey Jersey Size:*
Roshambo - White Jersey Size:*
Roshambo - Black Hoodie Size:*
Backpack:*

NOTE: Please enter 3 choices for jersey number.
The following numbers are retired:
4, 6, 7, 11, 13, 14, 21, 34, and 55

Jersey Number Choices:*
Roshambo - Shorts Size:*
Roshambo - Green Shorts Size:*
Player Black T-Shirt Size:*
Player Green T-Shirt Size:*
Parent 1- T-Shirt Size:*
Parent 2 T-Shirt Size:*
Additional Comments:
Verification: