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REGISTRATION

Please fill in all fields, and in the comments box, enter any player or coach you want to be placed with. Also the size of jersey you will need. Adult or Youth S M L.XL Figure on a heavy sweatshirt under the jersey.
No refunds after registration deadline

First Name                      Last Name
*        *
Parents name

Address                                                        Town                        Zip
*

Email
*

Phone # Day                  Phone # Mobile
*

School and Grade                Birth Date
*    *

Nassau
Suffolk

Comments: Add shirt size here Youth or Adult sizes XS,S,M,L,XL
Add coach/friend to be placed with (not guaranteed)
*