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Sign Up
New Booster Sign-up
Please enter the membership information below to sign up as a Booster. If you are registering as an individual player in an adult club, fill out the
"Booster Section"
and choose the
Self
option for
"Relationship"
. If you will be registering players under the age of 18, choose the option that best describes your relationship (Father, Mother, etc.). You may optionally identify a second individual with your membership; e.g., a spouse that is also responsible for your minor child players.
You will be adding players which will be linked to your membership later.
No apostrophes, quotes or special characters please, except for the lastname field.
Booster
(show 2nd person)
First Name (not your child):
Last Name:
Home Phone:
Mobile Phone:
Relationship to Player(s)
(use Self if you are the Player):
Pick One
Self
Mother
Father
Grandparent
Aunt
Uncle
Other
Booster (alt)
First Name:
Last Name:
Home Phone:
Mobile Phone:
Relationship to Player(s):
Pick One
Mother
Father
Grandparent
Aunt
Uncle
Other
Address:
Street Number:
Street:
City:
County / Parish:
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Copy from Booster
Street Number:
Street:
City:
County / Parish:
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Emergency Contact Information:
Copy from Booster
Copy from Booster Alternate
First Name:
Last Name:
Emergency Phone:
Emergency Mobile Phone:
Relationship:
Pick One
Mother
Father
Grandparent
Aunt
Uncle
Other
Primary Club:
- Pick A Favorite Club -
Sharon Springs Athletic Association (Cumming GA)
Sandbox Club (Atlanta GA)
Houston Swim Club (Houston TX)
Midway Athletic Club (Cumming GA)
I certify that I am 18 years of age or older.
User Name (email address)
You must use a working email address which you can access to validate your registration!
Create Your Password:
(min. 8 characters)
Confirm Password:
Password Challenge Response:
Enter a special word we can use as a challenge response in case you forget your password. WRITE THIS DOWN!
Additional E-mail Address 1:
Additional E-mail Address 2:
Additional E-mail Address 3:
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