MINI COMETS REGISTRATION FORM - WINTER 2012
Childs First Name:
Childs Last Name:
Sex:
male
female
Date of Birth:
Grade:
Pick One
Pre-K
Kindergarten
1st
2nd
3rd
School:
Pick One
Neff
Beagle
Delta Center
Wacousta
Willow Ridge
St. Michaels
Other
I'd like to play on a team with the following players:
Address:
City:
State:
Zipcode:
Home Phone:
Email:
Mom’s Name:
Mom’s Cell:
Dad’s Name:
Dad’s Cell:
T-Shirt Size:
Pick One
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small