EmailMe Form - McHenry County Esports Academy Enrollment Form

Player Name *

First Last

What games would you like to compete in? (You may choose more than one) *

What gaming equipment do you play with? *

Player's Game Tags *

Player's Current Game Rank(s) *

Enter unknown if you don't know your current rank(s)

Player's Discord Username *

Example: Paul I#1217. Enter NONE if you do not have a Discord username.

Player's Email Address *

Enter parent email if player does not have an email

Player's Mobile Phone # *

### - ### - ####

Enter parent mobile phone if player does not have a number

Player's Address *

Street Address City State / Province / Region Postal / Zip Code

Player's School *

Player's School District *

Player's Grade *

Player's Age *

Player's Birthdate *

MM / DD / YYYY

Parent's Name *

First Last

Parent's Email *

Parent's Mobile Number *

### - ### - ####

Enter any questions or comments