Dragon's Lair Field Registration

This data will be used for your waiver.   When you arrive at the field your wavier will be ready for your signature.

You will only need proof of identity (Driver License or State Id)  Your email address is for incomplete data or missing data received.

If your not using internet Explorer data will be lost.
 

Please fill in all the data requested below.   This Reg. is for all games for the 2007 season.
Team Name:    
Call Sign :
Name:  First:   Middle Init:  Last:     
Address:   
City:      State:           Zip Code: 
Date of Birth:               
Home Phone:    
Email Address:   
       
Emergency Contact  Name:       
Contact Phone Number      
       
 Read the  Waiver & Field Rules  
 
I have read the field rules and waver:  Yes or No       
             
List Health Concerns below:    
           
Comments