West Virginia Legends - Player Registration ~ [D1Scout]

West Virginia Legends News...

Please fill in this form completely before you click "Submit" at the bottom of this page.

Please select all the check boxes that apply for your registration. For instance if you are registering for tryouts and a team camp please check both check boxes to inform the organizations administrators.

Type of Registration *Check all that apply

Information

First Name

Last Name

Middle Initial

Contact Information

Home Address

Home Address Line 2

Zipcode

Eg: 10533

City

State

Phone Number

Eg: xxx-xxx-xxxx

Cell Number

Eg: xxx-xxx-xxxx Allow texting to this phone

Other Information

Email Address

Date Of Birth

Gender

Height

ft in

Uniform Shirt

(Adult Sizes)

Uniform Shorts

(Adult Sizes)

Uniform #

Educational Information

School Name

Current Grade

Graduation Year

Medical Information

Insurance Carrier

ID Number

Parent(s) Information

Mother's Name

Email Address

Phone Number

Eg: xxx-xxx-xxxx

Work Number

Eg: xxx-xxx-xxxx

Cell Number

Eg: xxx-xxx-xxxx Allow texting to this phone

Father's Name

Email Address

Phone Number

Eg: xxx-xxx-xxxx

Work Number

Eg: xxx-xxx-xxxx

Cell Number

Eg: xxx-xxx-xxxx Allow texting to this phone

Help us make sure you're not a robot

NOTE: This form will not be submitted unless you have all the required fields complete.


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West Virginia Legends Registration Form

Type of Registration *Check all that apply

Information

Contact Information

Other Information

Educational Information

Medical Information

Parent(s) Information

Help us make sure you're not a robot