North Storm Premier Registration Form 2011/2012

Registration Fee is $170

Please remember that you are not registered if payment does not accompany your registration.  To avoid confusion please do not submit registration forms that do not include payment.  If you do not want to send credit card information online, please register by fax, mail, or in person. 

We appreciate your cooperation!

Thanks!

Player Information

Last Name    First Name     Sex: M F

 Date of Birth   mm/dd/yy  

Address 

City   State    Zip

Phone                     

Parent/Guardian  Information

Parent or Guardian                                

Address

Daytime Phone

 Home Phone

 Cell Phone  

Email address

 Team/Age group 

Please mail a completed Medical Release form to PO Box 5034 Traverse City, MI 49696 as soon as possible.  We will also need a copy of your child's birth certificate.

Registration Fee is $170 for the full year.

VISA or MASTERCARD    Exp. Dat mm/yy  CVV Code

TBAYS Refund Policy

TBAYS will refund  up until the team's 1st game.  No refunds can be made after play has begun.

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