Acadiana Stars AAU RegistrationGirls Boys (please circle)
Age Division_______Grade______DOB_________School Attends________________ (Current 2009-2010 session) Name____________________________________________________________
Address___________________________________________________________
City______________________________State______________Zip____________
Home Phone_______________________ Player’s Cell:_______________________
Parents names: (Father)_____________________(Mother)___________________
Parents Cell #’s:(Father)_____________________(Mother)___________________
Parents Work#’s(Father)_____________________(Mother)___________________ Email address(s) (very important, much communication done thru email, you may put more than 1) ________________________________________________________________ ________________________________________________________________ Height___________Weight____________Tshirt size___________Short size__________ Are you already covered with health and accident insurance?___yes___no Any health problems? (Please list and comment, use back of form if necessary)______________________ Player’s Signature_______________________________________________________________ Uniform # preference (1st Choice)_______(2nd)_______(not guaranteed, but will attempt) ———————————————————————————————————————————————— For Office Use Only:
Fees: Uniform issued: AAU Membership _______________Check #_____ Jersey #___Size_____ Club Registration Fee____________ Check #_____ Short Size_____ Other_____________ |
