Shoot for the dream APPLY TODAY! ATHLETE APPLICATION Which program are you interested in? * The Athlete The Pro 1 on 1 Who is completing this form? * Parent/ Guardian Player Other Player Name * First Name Last Name Player Email * Player Mobile * (###) ### #### Player Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Player Date of Birth * MM DD YYYY Gender * Male Female Current Playing Level * Local Competition Div 1 Rep Div 2 Rep Academy Club State Team / Training Program Waratah League Parent / Guardian Name * First Name Last Name Parent / Guardian Email * Parent / Guardian Mobile * Emergency Contact If parent / guardian can't be reached. Thank you!
