PLAYER INFORMATION
GRADE ENTERING 2016 SCHOOL YEAR:_____
SCHOOL:_____________________________________________
PLAYER NAME:_____________________________________________________________________________________________
DATE OF BIRTH:____________
ADDRESS---STREET:_______________________________________________________________________________________
CITY/STATE:_______________________________________________________________________________________
ZIP:_________________
PARENT/GUARDIAN NAME(S):__________________________________________________________________________
CELL (PRIMARY CONTACT):__________________________________________
CELL (SECONDARY CONTACT):___________________________________________
EMERGENCY CONTACT NAME & CELL:_________________________________________________________________
EMAIL (PRIMARY):________________________________________________________________________________________
EMAIL (SECONDARY):_____________________________________________________________________________________
PLAYER HEIGHT:_________
JERSEY SIZE:______________
SHORT SIZE:______________
T-SHIRT SIZE:_____________
PLAYER EMAIL (IF ENTERING 11TH GRADE):___________________________________________________________
PLAYER GPA (IF ENTERING 11TH GRADE):________
IF YOUR CHILD DOES NOT MAKE A PURPLE ROSTER ARE YOU INTERESTED IN PLAYING ON A
BLACK OR WHITE ROSTER: YES_____
NO_____