.
Parent's Name: 
Email Add: 
Cell#: 
1

2
Child's Name:
Address:
City:
Age:
Grade
M/F
Birthday:
State/Zip:
***Please Note: You Are NOT Officially Registered Unless Payment Was Received With Child's Info.
Amount Paid:
League To Be Held
At Brookville Park!
Early Registration:
$225
Late Registration:
$295
League Runs from...
June 2nd to August 28th 2022
Sign Up Early!!!
Come & Join The Fun!
"Make An Impact In Life, Excel In School!"