MannyShow Athletic Development

Registration Form

First Name *

First Name *

Last Name *

Last Name *

Birth Date*

Birth Date*

Current Grade

Current Grade

Gender *

gender *

What sports do you play?

FootballBaseballHockeyBasketballVolleyball

Parent/Guardian Information (if athlete is under 18)

First Name

First Name

Last Name

Last Name

Mobile Number

Mobile Number

Email

Email

Alternative Emergency Contact

First Name

First Name

Last Name

Last Name

Mobile Number

Mobile Number

Does the athlete have asthma, allergies, or any other medical condition? If yes, please describe.

Membership Type

Payment Option *

CashOnline PaymentVenmo - Mannyshow84

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