2021 Jr Clutch Spring/Summer AAU Tryout Registration

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Boys and Girls / Cost is $35 to Tryout

Email *

Player Information

First Name *

Last Name *

Gender *

Female

Male

Jersey Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Shorts Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Grade *

Date of Birth *

School *

Home Address

Street Address *

City *

State *

Zip Code *

Parent/Guardian *

Phone Number *

Emergency Contact (Name) *

Emergency Contact Number *

Special Requests

Waiver

I , the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of the Wyoming Valley Clutch LLC & Catholic Youth Center (CYC). l recognize the possibility of physical injury associated with participating in Wyoming Valley Clutch LLC & CYC sponsored activities, and in consideration for the Wyoming Valley Clutch LLC & CYC providing these activities, do release the Wyoming Valley Clutch LLC & CYC and its staff members from all liability for any injuries sustained while on CYC property and/or participating in CYC activities.

Waiver Acceptance *

Yes, I agree.

Required

Send me a copy of my responses.

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