Player Name *

First Name

Last Name

Cell Phone *

Country

(###)

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Home or Other Phone

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Player Date of Birth *

MM

DD

YYYY

Astros FALL/WINTER INDOOR Program (September/January) Which season are you registering for? *

Fall (September - December)

Fall / Winter (September - March)

Winter (January - March)

Part-Time (September - March)

None

CJFH Astros SPRING Outdoor Program (April - June) Which age group are you registering for? *

U12 (2014 - 2016) Ages 12 and Under

U14 (2012 - 2014) Ages 14 and Under

U16 (2010 - 2012) Ages 16 and Under

U19 (2007 - 2009)

None

CJFH Astros FALL Outdoor Program (September/October) Which age group are you registering for? *

U12 (2013 - 2016) Ages 12 and Under

U14 (2011 - 2013) Ages 14 and Under

U16 (2009 - 2011) Ages 16 and Under

U19 (2006 - 2008)

None

Parent 1 Name *

First Name

Last Name

Parent 1 Phone Number *

Country

(###)

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Parent 2 Name

First Name

Last Name

Parent 2 Phone Number

Country

(###)

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