Vineland Challenger League Player Registration

Player Information

First Name

Last Name

Date of Birth

School Attending

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Uniform Size

Parent/Guardian Name | Emergency Contact

First Name

Last Name

Phone/Mobile -

Additional Contact Information

Date

Participation Waiver / Release

Please review the Participation Waiver / Release before submitting this registration form. The waiver will open in a separate tab so this form stays open.

Open Participation Waiver / Release

I have opened, read, and understand the Participation Waiver / Release.

Signature - By typing my name and submitting this form, I confirm that this serves as my electronic signature.

Sign Here

Minor Photo Release

Parent/Guardian First Name

Parent/Guardian Last Name

Child Name

Date

I grant permission for photographs of my child to be used for lawful league publicity, illustration, advertising, web content, and related purposes.

I Agree

Signature

Sign Here