D-League Registration

Fall 2018 Season

Sibling discounts are not available online.

Participants Full Name*
Date of Birth*
Gender*
First Time or Returning?*
- First Time Participating
- Returning
Last Team Name*
Registration*
Please select one
Total
$0.00
Home Phone
Cell Phone
Email*
If member of Ararat, what section?
Membership ID #
I'd like to volunteer as a
- Coach
- Assistant Coach
- Team Manager
- Score Keeper
Name*
1st Preferred Practice Days*
- Thursdays
- Fridays
(*practice day option is a preference only and can not be guaranteed)
Please accept*
- waiver, indemnification, and release of liability agreement
($35 Processing fee will be deducted for all refunds or credits toward future seasons)
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address City State ZIP Code