Free Agent Form
THIS FORM WILL BE SHARED ON THE INTERNET for people to contact you.  Please include your best form of contact.
Last Name *
First Name *
Level of Play *
Select ALL OF THE levels you are comfortable playing at  
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Gender *
Available to Play-Tuesday  8:40- 10:10 PM    
Tuesday (Co-Ed 6's-Men's Height Net)
Available to Play-Thursday
8:40- 10:10 PM   Thursday (RevCo 4's Women's Height Net)
Best Form of Contact *
Email Address *
Please include the email address that people should use to contact you.
Phone Number  *
Please include the phone number with area code that people should use to contact you.
Please List All Positions You Play *
I understand that I will need to pay the annual fee if I become a rostered player for a team. *
I will contact AdultVB@impactathleticsny.com to remove me from the list if I become a rostered player.  *
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