Name	Home Phone	Cell Phone	E-Mail Address
Manager
Coach
Coach

 

 

	Name	Street Address	Town	DOB
1*
2*
3*
4*
5*
6*
7*
8*
9*
10*
11*
12*
13
14
15
16
17
18

 

By clicking submit, I certify that all players are eligible for participation in the District 34 program and that I have read and understand the program rules that appear on this website.

I also acknowledge that a minimum of 12 players is required for team registration.