Team Staff Registration

Fields marked with an * are required.

Name

First Name

Last Name

Birth Date

Team

Please specify the team and what division the team is part of.

Team Staff Type

Head Coach Assistant Coach Manager Other (Specify Below)

If you chose "Other" above

Please review and agree to the following terms and conditions, including legal documents involving a waiver.

I have read, understand and agree to the terms and conditions in the above document.

Signature

My signature acknowledges that I understand and agree to the terms and conditions stated in all of the above documents.

Full Name

Sign

Discount

Subtotal

Tax

Total USD