2022-2023 BLOMHA REP MD FALL Tryout Registration (BLOMHA)

Print 2022-2023 BLOMHA REP MD FALL Tryout Registration
This form is for the Fall Tryouts - U8 (2015) to U13 (2010) ONLY.
Player Information
Please fill out accordingly.
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Example: [email protected] Your submission will be sent to this address.
  3. ONLY Burlington Residents Eligible
  4. Example: ###-###-####
  5. Example: ###-###-####
  6. PLEASE PUT IN ALL FOUR NUMBERS
Documentation
Upload Birth Certificate OR Passport. If documentation is not supplied registration will not be accepted.
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 1. Maximum File Size: 4MB.
Player History
Player Division + Position
  1. Please click all that apply
  1. PLEASE NOTE

    • Minimum of three (3) tryouts
    • Players must bring a jersey with a number on it (the same one for all tryouts)
    • ABSOLUTELY NO REFUNDS of full or partial tryout fees
  2. PARENT STATEMENT OF CONSENT

    I acknowledge that all of the above information is correct and I understand that regardless my child's attendance I will be charged the full fees.
Payment
PayPal account is not necessary. Payment can be made using Visa or MasterCard.
Human Validation