Fall Ball Registration

Langley Blaze FALL BALL Registration Form

Please make sure you follow the format requested.

Fields marked with an * are required.

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Premier (19u), Junior (Ages 15-16), Bantam (Ages 12-14)

Both Parent's First Name

If the player does not have an email address, put NA.

Do not put the parents email address.

Please note, a player email address is needed for the Premier and Junior teams.

Format Example: YYYY-MM-DD or 2000-06-25
(Must use a hyphen between year, month, day)

Format Example: 123-456-7890
(Use a hyphen between the numbers, PLEASE use this format)

Format Example: 123-456-7890

(Use a hyphen between the numbers, PLEASE use this format)

If the player does not have a cell number, put NA.

Do not put the parents cell phone number.

Please note, a player cell number is needed for the Premier and Junior teams.

Use Proper punctuation please. Fill out all fields and capitalize the the Street Name, etc above. (Example: 1234 Street Name)

Pick the correct height

Format Example: 185
(Only put the number)

Payment

USD