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Tryout Registration


* Player's Name
* Date Of Birth   mm/dd/yy
* Height
* Weight
* Preferred Position
* Playing Experience
* US Citizen     
* E-mail Address

Waiver
"I assume all risks in regard to participation in the programs in which I will participate. I release, indemnify and agree to hold harmless NJ Blaze, it's directors, officers, coaches, trainers and volunteers from any liability that may arise from participation in the programs organized by NJ Blaze. By agreeing to these terms, I attest to the following: that the information entered is correct, and in the event of a medical emergency, I authorize NJ Blaze staff to seek emergency medical care for me as deemed necessary. I allow any photos or media taken at NJ Blaze events to be used for publicity purposes".

* I agree     Check the box to agree to the Waiver
Senior team tryouts
Date:
Sunday January 15th

Time:
2-4pm

Location:
Harvest Woods, South Brunswick

Click here to register






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