ATHLETE INFORMATION * First Name Last Name Birthdate * MM DD YYYY Grade / Class * 2028 2029 2030 2031 2032 2033 2034 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Jersey # Option 1 * Jersey# Option 2 * Jersey# Option 3 * Jersey Size * YS YM YL YXL AS AM AL AXL Shooting Shirt * YS YM YL YXL AS AM AL AXL Short Size * YS YM YL YXL AS AM AL AXL PARENT 1 INFORMATION * Primary Contact First Name Last Name Parent 1 Email * Parent 1 Phone * (###) ### #### Parent 2 Name First Name Last Name Parent 2 Email Parent 2 Phone (###) ### #### EMERGENCY CONTACT INFORMATION * Other than Parents First Name Last Name Emergency Contact Phone * (###) ### #### PAYMENT INFORMATION * Full Payment - $850 Partial Payment - $450 Please confirm your payment amount * Email to Send Invoice * Please check your email for more information and invoices soon! MIAMI LEGENDZ SELECT REGISTRATION