Player Information

Fields With A " * " Are Required

First Name*

Last Name*

E-Mail Address*

Mobile Phone*
e.g. 917-555-5555

Winter Phone*
e.g. 718-555-5555

Summer Phone*  
 e.g. 732-555-5555

Grade*

Sporting Event:*

Basketball    Tennis
 

Who Were You Accepted By*

I Am Making A Request
(Please understand that this is only a request,
 and you may not be eligible to play)

JoJo Chehebar

Ezra Bibi

Jacob Kassin

* I agree to pay $36 to play.

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 I Have Paid By Credit Card
(Check here if you already paid by CC)

Questions/Comments

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