Player's Name *

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Player's Date of Birth *

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Parent or Guardian's Name *

First Name

Last Name

Player's Home Address *

Address 1

Address 2

City

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Parent's Contact Phone Number *

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Secondary Contact Name *

First Name

Last Name

Secondary Contact Phone Number *

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Bayside Raiders Code of Conduct *

The Code of Conduct is located at the bottom of the page

I agree to the Terms & Conditions of the Code of Conduct

General Waiver *

The General Waiver is located at the bottom of the page

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Equipment Waiver *

The Equipment Waiver is located at the bottom of the page

I agree to the Terms & Conditions of the Equipment Waiver

Please Select a Division *

Fee covers Registration

Peanuts - $475 (5-8 Years old)

Jr. Pee Wee's - $475 (9-10 Years old)

Pee Wee's - $475 (11-12 Years old)

Bantams - $475 (13-14 Years old)

Check all that Apply

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