Titusville YMCA Downtown Shootout XV - 3 on 3 Registration

Notice: Please Read

ALL APROPRIATE SIGNATURES MUST BE OBTAINED PRIOR TO FIRST GAME BEING PLAYED. PLEASE FIND KYLE KREPPS DURING GAME DAY REGISTRATION FOR SIGNATURES. ALL PARTICIPANTS ARE REQUIRED TO SIGN A FORM, AS WELL AS PARENTS OF PLAYERS UNDER THE AGE OF 18.

The Titusville YMCA reserves the right to disqualify anyone who violates our code of conduct. By signing the registration form you have agreed to abide by this code of conduct.

Be sure to fill out information for each team member before clicking submit, otherwise they will not be registered with the rest of the team.

Clicking on Submit below inidicates you have read and agree to the "Waiver and Release of All Claims and Assumption of Risk" on the YMCA Website.

 


Team name:

E-Mail address:

Captain's Name:

Sex:

Male
Female

Age:

Height:

Street address:

City:

State

Zip

Phone Number:

Playing Experience:

Elementary (4th, 5th, 6th grade)
Junior High (7th, 8th grade)
Freshman (9th grade)
High School (Varsity)
College Intramurals
Adult Recreational League
Small College (NAIA, NCAA, DIV 2,3)

College Name:

T-Shirt Size (check only one)

Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL




Player 2's Name:

Sex:

Male
Female

Age:

Height:

Street address:

City:

State

Zip

Phone Number:

Playing Experience:

Elementary (4th, 5th, 6th grade)
Junior High (7th, 8th grade)
Freshman (9th grade)
High School (Varsity)
College Intramurals
Adult Recreational League
Small College (NAIA, NCAA, DIV 2,3)

College Name:

T-Shirt Size (check only one)

Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL




Player 3's Name:

Sex:

Male
Female

Age:

Height:

Street address:

City:

State

Zip

Phone Number:

Playing Experience:

Elementary (4th, 5th, 6th grade)
Junior High (7th, 8th grade)
Freshman (9th grade)
High School (Varsity)
College Intramurals
Adult Recreational League
Small College (NAIA, NCAA, DIV 2,3)

College Name:

T-Shirt Size (check only one)

Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL




Player 4's Name:

Sex:

Male
Female

Age:

Height:

Street address:

City:

State

Zip

Phone Number:

Playing Experience:

Elementary (4th, 5th, 6th grade)
Junior High (7th, 8th grade)
Freshman (9th grade)
High School (Varsity)
College Intramurals
Adult Recreational League
Small College (NAIA, NCAA, DIV 2,3)

College Name:

T-Shirt Size (check only one)

Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL



After submitting this form you will be contacted within 5 business days to confirm your registration, payment can be mailed in or made on tournament date but MUST must be recieved prior to the start of the first game on Saturday August 5th.