Skills & Drills - Participation Registration

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Event Timing: Ongoing
Event Address: John A. Shelburne Center - 2730 Washington Street - Roxbury, MA 02119
Contact us at (617) 506-3512 or beantownpanthers@gmail.com
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By entering the event session and choosing to participate, I am agreeing that I am medically fit and able. By participating, I warrant that I am in the physical condition necessary to compete; and have not been instructed not to do so by a health care professional.

Email *

Player Name *

Date of Birth *

YYYY

Email *

Home Phone Number *

Cell Number *

Emergency Phone Number *

School Name *

School Grade (September 2022) *

Parent Name *

Parent Number

Parent Email *

I understand that by completing this form, I am registered to tryout for Beantown Panthers Travel Team. *

Yes

Required

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