First Name:       

 Last Name:        

 Date of Birth:     (example: MM/DD/YY)

 Academy Plus       (enter Y or N)

If Academy Plus is N above then enter your preferred Academy Session

 Academy Session    (enter 1 or 2)

 T-Shirt Size:       (see sizing info below)

Contact Information

Father's First Name:  

Father's Last Name:   

Street Address:       

City:                 

State:                

Zip:                  

Home Phone:               (example: xxx-xxx-xxxx)

Cell Phone:               (example: xxx-xxx-xxxx)

Email:                

Mother's First Name:  

Mother's Last Name:   

Street Address:       

City:                 

State:                

Zip:                  

Home Phone:               (example: xxx-xxx-xxxx)

Cell Phone:               (example: xxx-xxx-xxxx)

Email: