PLEASE FILL IN AS COMPLETELY AS POSSIBLE.

SELECT WHAT YOU ARE INTERESTED IN:     (Choose all that apply)
Membership   |Training   |Rentals   |Leagues   |Camps   |Parties   |Teams   |Speed

PLAYER INFORMATION

Full Name:    Gender: —Please choose an option—MaleFemale     Age:    DOB (M/D/Y): —Please choose an option—123456789101112 / —Please choose an option—123345678910111213141516171819202122232425262728293031 / —Please choose an option—2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940

Street Address:    City:    State: TXALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY    Zip:

Phone:    Grade: —Please choose an option—Pre-KK1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeProfessionalRetired    School:

PARENT/GUARDIAN 1 INFORMATION     (Must be 18 or older)

—Please choose an option—FatherMotherGrandfatherGrandmotherUncleAuntGuardian    Gender: —Please choose an option—MaleFemale    Age:    Date of Birth:

Full Name:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Same Address As Player: YesNo   -   If address is the same as PLAYER'S, leave address fields blank.

Street Address:    City:    State: TXALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY    Zip:

PARENT/GUARDIAN 2 INFORMATION     (Must be 18 or older)

—Please choose an option—FatherMotherGrandfatherGrandmotherUncleAuntGuardian    Gender: —Please choose an option—MaleFemale    Age:    Date of Birth:

Full Name:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Same Address As Player: YesNo   -   If address is the same as PLAYER'S, leave address fields blank.

Street Address:    City:    State: TXALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY    Zip:

EMERGENCY INFORMATION     (Must be 18 or older)

Full Name:    Relation:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Are there any special needs or requirements or anything else you'd like us to know?

How did you learn about us?

INSURANCE & LIABILITY INFORMATION     (Must agree in order to register.)
All coaches, parents and parents of players must provide at own expense any insurance deemed necessary. NEXT LEVEL SPORTS GROUP (NLSG) DOES NOT PROVIDE ANY PERSONAL INJURY OR LIABILITY INSURANCE WHATSOEVER. I waive and release NLSG and any other facility used for the clinics, schools or camps from any injury or illness incurred while attending any NLSG clinics, schools or camps, as well as personal, group or team trainings. I hereby give my permission to allow NLSG coaches or staff to administer emergency medical treatment in the event that I cannot be reached.

I HAVE READ AND AGREE TO THE TERMS, CONDITIONS AND COVENANT WITHIN IT, INCLUDING BUT NOT LIMITING TO THE MINOR RELEASE AND THE WAIVER OF LIABILITY:  RELEASE & AGREEMENT

Agreed to by (your full name): Email: