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Capital City Registration Page

Download the 2008 Brochure
(in MS Word format) | (in Adobe PDF format)

Note: Please click here to print out blank forms or to reprint completed 2008 registration forms

Last name: Date of birth:
(Format yyyy-mm-dd)

Fill this form to register with Capital City VBC

All bold fields are required

First Name:
Last Name:
Social Security #: - -
Contact Phone: () -
Players E-Mail:
Date of Birth:
School:
Grade:
Last Level of Play:
High School Graduation Year:
Height: ' ''
Parent/Guardian 1 Name:
Parent/Guardian 1 Work Phone: () -
Parent/Guardian 1 E-Mail:
Parent/Guardian 1 Address:
Parent/Guardian 1 City: Parent/Guardian 1 State:
Parent/Guardian 1 Zip Code: -
Parent/Guardian 1 Gender
Parent/Guardian 2 Name:
Parent/Guardian 2 Work Phone: () -
Parent/Guardian 2 E-Mail:
Parent/Guardian 2 Address:
Parent/Guardian 2 City: Parent/Guardian 2 State:
Parent/Guardian 2 Zip Code: -
Parent/Guardian 2 Gender
Emergency Contact:
Emergency Number: () -
Emergency Relationship:
Physician:
Physician Number: () -
Insurance Company:
Policy Number:
Medical Concerns:
List any medications being taken:
List any known allergies:
T-Shirt Size
Sweats Top:
Sweats Bottom:
Authentication Code:
Type Authentication Code: