Home
About Us
**Registration CLOSED for 2024 Season**

Home
About Us
**Registration CLOSED for 2024 Season**

Registration CLOSED for 2024 Season

**For late registration requests, please send an email to: chaddyvt@gmail.com

2024 Registration Form

Check if this is your child's first season

First Season

Player's First Name

First

Player's Last Name

Last

Birth Date

MM slash DD slash YYYY

Height

Weight

Player's School in the Fall

Player's Grade in the Fall

Player's T-Shirt Size

Parent A

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

Place of Work

Work Phone

Parent B

Name

First Last

Same Address?

Address is same as parent A

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

Place of Work

Work Phone

Preferred Email address for league correspondence:

Parent A

Parent B

Medical Information

Physician Name

Physician Phone

Medical Insurance Company

Policy #

Medical problems, allergies, medications player is taking or takes on a regular basis:

Emergency Contact

Other than parent.

Name

First Last

Phone

Relationship to player:

Volunteer Info

May we contact you about any of the following?

Coaching

Assistant Coaching

Team Parent

Refereeing

Preparing equipment for games

Game day help

Fundraising

Are you registering multiple children?

Yes

You may use the following coupon codes for when paying for the second child, third child, etc.

SecondChild for $10 off registration
ThirdChild for $20 off registration
FourthChild for $30 off registration