12U Registration

***Team Captain must enter player information***
12U Registration requires a MINIMUM of 5 players including goalie, MAXIMUM of 9 players including goalie.
When complete with player registration click on "Submit Registration"
When complete with Registration click on "Pay for Registration"

12U Registration - Enter up to 9 players, click submit registration, then click pay for registration

* Indicates required field

Team Name *

Day of Play Preference 1/20 Sat. or 1/21 Sun. (No Guarantees) *

Team Captain Name *

First

Last

Mobile Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Player 1 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 2 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 3 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 4 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 5 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 6 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 7 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 8 Name *

First

Last

Date of Birth Month/ Day/ Year *

Parent Mobile Number *

Player 9 Name *

First

Last

Date of Birth *

Parent Mobile Number *

Click Submit Registration

Submit Registration

Registration is not complete until payment is made below
***Click on Pay for Registration Button below***

12U Registration

$500.00

Pay for Registration

Any questions about Registration please contact Chris Taggart at tmbackyardclassic@gmail.com