Team Registration

Team Registration requires a roster
Click here for ROSTER FORM

Team Registration Fee is the number of players divided by the Team Fee 

   Individual Registration
Year: _______Season:_________Program:_______________Grade:___

Player’s Name: ____________________________ DOB: ________     Boy___   Girl___

Referred By:______________________________________School:_________________
 Please circle one (if applicable)

Shirt Size:  YS(6/8)    YM(10/12)    YL(14/16)   -OR-    AS     AM    AL    AXL      AXXL

PLEASE NOTE:  THERE IS AN ADDITIONAL FEE OF $8 FOR REODERING SHIRTS

 

Address: ____________________________  City/State/Zip: ________________________

 

Guardian #1: __________________________ Email:________________________________

 

Phone: (h)_____________________ (c)___________________ (w)_____________________

 

Receive notification via text message? ___YES     ___NO   Cell provider:____________________

 

Guardian #2: ___________________________ Email:_______________________________

 

Phone: (h)_____________________ (c)___________________ (w)______________________

 

Receive notification via text message? ___YES     ___NO   Cell provider:____________________

 

Are you interested in coaching?   ___YES    ___NO

 

ALL CONFIRMATIONS WILL BE MADE VIA EMAIL AND OR TEXT MESSAGE

Coach will contact players

 

FOR OFFICE USE ONLY

NAME_____________________________ CHECK #__________ AMOUNT___________ DATE:__________

Please complete and return this registration form with the non-refundable team or non-refundable individual fee to The Gym of Springfield, 1823 Camp Lincoln Road, Springfield, IL, 62707 by the registration date for your specified program.