Lakers Volleyball
Child Athlete Registration Form
Main Parent/Guardian Information
First Name Last Name
Address
City Postal Code
Home # Work # Cell #
E-Mail
2nd Parent Information
First Name Last Name
Work # Cell #
E-Mail
Security Information
Spam Checker: Captcha
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Child Athlete Information
Team Playing on?
First Name Last Name
Sex DOB
Male or Female / /
Cell #
E-Mail
Clothing Info
T-Shirt Size:  (Inc. in fees)
Health Card # Expiry Date
/ /
Any health information we should be aware of? i.e. Alergies, etc.
HINT: Move your cursor from field to field using the TAB key.
Note: If you are registering more than one Athlete, you will be given that option after clicking this button.
Information collected over the web will be downloaded by the Lakers Administration office once on-line registration completes. To protect the registrants privacy, our on-line database will then be deleted.

Your Data has been saved.