Minutemen AthleticsAthletic RegistrationMaranatha Baptist University Soccer Clinic at MMBAThu 6/6/24 - Fri 6/7/241st-6th Boys & Girls 10am-12pm7th-12th Boys 1pm-3pmclick for information flyer Athletic RegistrationFamily InformationParent/Guardian First NameParent/Guardian Last NameParent/Guardian Email AddressParent/Guardian Phone NumberMedical Insurance CompanyInsured's NamePolicy NumberPlayer InformationPlayer First Name #1Player Last Name #1Gender- Select -MaleFemaleGrade in Fall 2024- Select -1st2nd3rd4th5th6th7th8th9th10th11th12thSchool Attended Last Year ('23-'24)Has Player Above Had a Physical Exam in the Last 12 Months? Yes NoPlayer First Name #2Player Last Name #2Gender- Select -MaleFemaleGrade in Fall 2024- Select -1st2nd3rd4th5th6th7th8th9th10th11th12thSchool Attended Last Year ('23-'24)Has Player Above Had a Physical Exam in the Last 12 Months? Yes NoPlayer First Name #3Player Last Name #3Gender- Select -MaleFemaleGrade in Fall 2024- Select -1st2nd3rd4th5th6th7th8th9th10th11th12thSchool Attended Last Year ('23-'24)Has Player Above Had a Physical Exam in the Last 12 Months? Yes NoNoteSubmitting this registration form confirms permission for the player(s) above to participate in the 6/6/2024 - 6/7/2024 soccer clinic at MMBA.Submit Registration Form
