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Player Information Sheet
Notes:
All incoming players/parents are required to complete this form to the best of their abilities.
Congratulation on being offered a position. We are thrilled to have you be part of the Fury Family!
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* Indicates required question
I will be accepting my offer to play for Long Island FURY for the upcoming 2020-21 season.
I do accept
I do not accept
My parent(s) has watched the video from Coach Cuccinello on the Fury Website.
*
Yes
Not yet, but they will today.
No
Required
Player's First Name
*
Your answer
Player's Last Name
*
Your answer
Player is currently in what grade:
*
Choose
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Date of Birth
*
MM
/
DD
/
YYYY
Player's Email Address
*
Your answer
Home Street Address
*
Your answer
Home Town
*
Your answer
Home Zip Code
*
Your answer
Home School District
*
Choose
Bay Shore
Bayport/Blue Point
Bellport
Center Moriches
Commack
Comsewogue
Connetquot
East Hampton
East Islip
Eastport-South Manor
Greenport
Hampton Bays
Hauppauge
Kings Park
Longwood
Mattituck
Mercy
Miller Place
Mt. Sinai
Patchogue-Medford
Port Jefferson
Riverhead
Rocky Point
Sachem East
Sachem North
Sayville
Shelter Island
Shoreham-Wading River
Smithtown East
Smithtown West
Southhampton
St. Anthony's
Stony Brook
Ward Melville
West Islip
Westhampton Beach
William Floyd
Other:
Home Phone Number
*
format: ###-###-#### (with dashes)
Your answer
Player's Cell Phone Number
*
format: ###-###-#### (with dashes)
Your answer
Home Phone Number
*
format: ###-###-#### (with dashes)
Your answer
Player's Cell Phone Number
*
format: ###-###-#### (with dashes)
Your answer
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