Registration Form
Please use this form for each program you would like to register for. 
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Email *
Participant Name and Date of Birth: *
School attending Fall 2023 *
Phone Number: *
Address:  *
Parent/Guardian Name (if participant is under 18) *
Select the program you are registering for:
(Additional information for each program can be found on our website)
PAYMENTS may be mailed to :
Coastal Hampton Roads Sportsplex
12650 Patrick Henry Drive
Newport News, Va 23602
**Be sure to include the participants name on memo line**
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