Player Information

Gender *
Shirt/Jersey Size *

School Information

Current Grade *
Current Educational Level *
Current Age *

Select proper Division


Please help us track statistics so that we can better serve our community,

Nationality/Race *
Do you qualify for free or reduced school lunch? *
Are you interested in the Food For Families Program? *

Parent/Legal Guardian Information

Relationship to child *
Does you family receive any of the following? Please select all that apply: *
In order to be eligible for "services for non-placed children", a child/family's gross income may not exceed 400 percent of the Federal Poverty Guidelines (FPG) for the family unit size. Using the table below, provide a "YES" or "NO" in Column 4 in the corresponding row for the family size as to whether the child/family's income is less than the annual or monthly amount for the family size. (Family unit includes biological, adoptive or step-parents, specified relatives, or non-relative court designated legal custodians and full, half, and/or adopted siblings living in the home under the age of 18 plus the TANF child). This is a self-declared means test. No verification except the response of the family is required. If the family DOES NOT receive assistance, please select the category that applies below: *
Is the child a U.S. Citizen or a legal status immigrant? *
What Documentation source do you have to prove citizenship? *
Is the child living in the home of a parent, other adult specified relative or a court designated legal custodian? *

Additional Parent/Legal Guardian Information


Start Date (Subject to Change) *
Waiver *
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