Online Team Registration Form Team Name: Sport: Select Soccer Lacrosse Flag Football Session: Age Group: Gender: Select Boy Girl Team Contact Name: Address: City: State: Zip: Home Phone: () Cell Phone: () E-Mail Address: How did you hear about The Sports Academy? Select Building Sign Friend Returning Player Travel League Web Yellow Pages Other: If you selected Friend, Travel League or Other, please list specific name here: Comments: Method of Payment? Select Mail Check Online Pay via PayPal I hereby give permission and certify that team members are in good health and able to participate in all The Sports Academy activities. By selecting the SUBMIT button, I release coaches, staff, and all others associated with The Sports Academy activities of all Liability for any injury or illness incurred by team members at The Sports Academy activities. Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013