Open Division Registration

Team Name

Name

Birth Year (ex 1985)

Cell Phone # (ex 5167771212)

Home Address

Street Address

City

Country

Players Height

Format Example: 5-4

Players Weight (in lbs)

Format Example: 120

Jersey # Choice 1

1-2 digits

Jersey # Choice 2

1-2 digits

Waiver

Player/Parent Name

Agree

I agree to the above waiver.

Sign your name if you agree with the above waiver

Name

Agree

I agree to the above RHA waiver.

Sign your name if you agree with the above RHA waiver

Player Fee

Select

Discount

Subtotal

Tax

Total USD