Tryout Registration

Thank you for you interest in our Runnin’ Rebels program. Please complete the form below to register for tryouts. If there are problems, contact Mike Harris at RunRebelsRun15@gmail.com

https://www.instagram.com/run_rebels_run/

https://twitter.com/RunRebelsRun_15?lang=en

2020 Rebels Tryout Registration Form

Player's Name*
First Last
Date of Birth*
MM
DD
YYYY
Gender*
- Male
- Female
Player's Current Grade*
Player's Uniform Size
Player's Desired Position
Player's Email
Player's Phone
Favorite college or pro player*
Years as a Rebel*
Parent Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent Email*
Parent Phone
Payment*

$25 per Participant to Tryout, One Payment/Sign Up Per Athlete!
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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2020 Rebels Tryout Registration Form