EmailMeForm
Baltimore Celtic Tryouts
Registration Form for the 2018/2019 Season
Player Name
First
Last
Parent Name
Email
Phone
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Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Player's Birth Date
*
Gender
Age Group
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
Market Location:
Please select
Central (Baltimore County)
North (Harford County)
South (Anne Arundel County)
West (Carroll County)
Current Club
Primary Position
By clicking AGREE, I ACCEPT AND UNDERSTAND THE BELOW WAIVER. * On behalf of my child, I accept and assume any and all risks associated with his/her attendance and participation in any and all Baltimore Celtic SC program and activities. I understand that my child should not participate if unhealthy. I understand that my child must abide by all rules and instructions of staff. I understand that my presence is required at all sessions to care for my child, including visits to the restroom facilities. I hereby grant my permission for photographs and video to be taken of my child and understand those video/photos may be used for Baltimore Celtic SC marketing opportunities. Knowing these facts and in consideration of your accepting my child's participation in the program, I, or anyone acting on my child's behalf, agree that Baltimore Celtic SC staff are not responsible for accidents, injuries, , and/or medical or dental expenses arising from my child's participation. In accordance with this agreement, I promise not to sue, and I release Baltimore Celtic SC and anyone working for the organization from all claims of liability or expenses of any kind relating to my child's participation in the program.
Please check Agree or Disagree
Checkbox
Agree
Disagree
Dropdown
Player Gender
Male
Female