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LEGACY REGISTRATIONS

Previously know as LYStamford since 2010.

DATE TODAY:

⭐Child Information:

Full Name

How old is your Child

Date of Birth

Boy or Girl

Experience Level

Have your child play in a team Before?

⭐Parent/Guardian Information:

Parent/Guardian Name

Email Address

Phone Number

⭐Emergency Contact & Medical Information

Emergency Contact Person

Relationship

Emergency Phone Number

Medical Conditions / Allergies / Notes

⭐Terms & Waiver :

Required Consents:

✒️ Signature

Signature