Please fill out the information below.


Please Choose a League:

Classification:
League City/State:
Team Name:
Manager:
Email:
Mobile Phone:
Home Phone:
Work Phone:

Make sure you enter Manager’s address (below)
for mailing purposes.

Address:
City:
State:
Zip:
Registration Fee:
Processing Fee: $5
Total:

Billing Information


Payment Information


(on back of card)
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