EmailMe Form - NEFPHL Prep Prospect Registration

Discount Code
Player's Name *
First Last
Player Birth Date *
MM / DD / YYYY
Parent/Gaurdian *
First Last
Phone *
### - ### - ####
Email *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
School *
Position *
Grade *
2024/2025 Team (Last years team) *
2025/2026 Team (Next years team) *
As parent/guardian of the above named child, I hereby grant permission for him/her to participate in the activities of NEFPHL. I hereby waive, release and forever discharge said NEFPHL it’s officers, members, agents, representatives and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above named child have or may have by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above named child in the activities of NEFPHL and any consequences arising there from. I understand that I must pay the required player fee for the registration period for my child to continue to participate in the program.
Signature
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