FALL 2017
DOMINION LIBERTY
3RD/4TH grade team REGISTRATION

Team Registration
$195

Fees are solely for the purpose of covering coaches salaries, field rentals, team/player tournament registration fees, coaches travel, lodging and per diem expenses, and club administrative costs. Player lodging, food and transportation costs are not included.

Player Name *
Player Name
Parent Name *
Parent Name
Parent Cell Phone *
Parent Cell Phone
Birthday *
Birthday
Need this in order to participate.