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EWBC Registration Form 2020
Please enter a valid email address and complete the following registration form to become a member of EWBC. Please contact your team manager about payment for the season.
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* Indicates required question
Email
*
Your email
Name of Player
*
Your answer
Are you Under 18?
*
No
Yes
If under 18, Name of Parent/Guardian
*
If no, please type NA
Your answer
Date of Birth
MM
/
DD
/
YYYY
Telephone Number (xxx-xxx-xxxx)
*
Your answer
House/Apartment Number
*
Your answer
Street Name
*
Your answer
City
*
Your answer
In which COUNTY do you reside?
*
Your answer
State
*
Choose
VA
MD
DC
DE
PA
WV
other
Zip Code
*
Your answer
TEAM
*
BarnCats
Blues
Flames
Fury
DC Thunder Only
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