Added by Nextgen Indoor
Updated
NEXTGEN INDOOR
6051 FM 879 ENNIS TEXAS
469-383-6602
PLAYER REGISTRATION
NEW PLAYER:__________________RETURNING PLAYER:________________________
NAME:_______________________________ TEAM NAME:________________________
DATE OF BIRTH:_______________________JERSERY #___________________________
ADDRESS:__________________________________________________________________
CITY:_________________________STATE:___________ZIP CODE:___________________
COACH:____________________________________________________________________
PHONE NUMBER:___________________________________________________________
EMAIL:_____________________________________________________________________
PARENT/LEGAL GUARDIAN INFORMATION
PARENT/GUARDIAN NAME:__________________________________________________
PHONE NUMBER:___________________________________________________________
IN CASE OF EMERGENCY :
CONTACT 1:______________________________ CONTACT 2:______________________
PARTICIPANTS ALLERGY’S:___________________________________________________
PARTICIPANTS MEDICAL:_____________________________________________________
PHYSICIANS NUMBER:________________________________________________________
CASH:________________CREDIT CARD:_________________ZELLE:_________________
PARENT SIGNATURE:_________________________ DATE:__________________________
