Online Registration
UVFL - 2008 - ONLINE REGISTRATION
PLAYERS INFORMATION:
Name:
*
Street Address:
*
City, State ZIP:
*
Jr. High you are (or will be) attending:
-SELECT ONE-
ALA
Alpine
American Fork
Canyon View
Centennial
Dixon
Highland
Lehi
Mapleton
Lakeridge
Mapleton
Oak Canyon
Orem Jr
Payson
Pleasant Grove
Salem
Spanish Fork
Springville
Wasatch
OTHER
High School - Orem High
High School - Timpanogos
*
Grade:
-PICK-
1
2
3
4
5
6
7
8
9
*
Date of Birth (mm/dd/yyyy) :
*
PARENT/GUARDIAN INFORMATION:
This information is also used as Emergency Contact Information
Name:
*
Address:
*
City, State ZIP:
*
Home Phone #:
*
Cell Phone #:
Work Phone #:
Email Address:
I am insured by:
*
Policy #:
*
My Child's Physician:
*
Medical alert or allergy information:
*
* Required Fields
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