SSGT Registration Star Spangled Goalball RegistrationΔ I am registering as A pool player A teamWhat division are you registering for? Experienced Developmental Womens Team NamePlayer NamePOC or Coach Name (this Person will be the primary contact between your team and STRIVE4YOU):EmailPhone/MobileT-Shirt Size, If Coach is not listed below as a player. (Small, Medium, Large, X-Large, 2X-Large(plus $1.00), 3X-Large(plus $2.00))Are you a veteran?- Select -YesNoAddressCityStateZip CodeT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Emergency Contact Information First NameLast NameRelationshipPhone/MobilePlayer InformationPlayer 1 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Player 2 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Player 3 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Player 4 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Player 5 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Player 6 Full NameJersey NumberT-shirt size- Select -SmallMediumLargeX-Large2X-Large (+$1.00)3X-Large (+$2.00)Are you requesting a pool player? Yes NoAre there any food allergies or restrictions we should know about ? Yes NoIf yes, please explain. I have read and agree to the STRIVE4you participant waiver of liability and the participant code of conduct Electronic Signature DateTournament registration fee per player.Price: $60.00Player + Coaches = Quantity (Please follow the formula for proper quantity) Thank YouOversized T-Shirt: If you requested for any coaches or players t-shirt sizes of 2X-Large($1) or 3X-Large($2) please add each amount in this field.Help us take care of our Referees! Donate Here!No payment items has been selected yetPayment Method Pay with Card Pay with PayPalPay with CardSubmit Form
