Lowell SunDevils Pre-Registration Form

 

 

LOWELL SUNDEVILS BASKETBALL

210 River Rd.

Lowell, MA 01852

Phone: (978)459-8679

 

Today's Date Requested Tryout Date

 

Players Name Mi.
Address City
State Zip
Phone Date of Birth
Previous Level Of Play League

Any Medical Conditions (i.e.  Asthma, Deafness, Heart Condition)

Person to Notify In Case of Emergency (Not a parent)

Phone #

Doctor to Notify In Case of Emergency (Not a parent)

Phone #

 

Parent/Gaurdian Name

E-mail address

Relationship To Minor 

 

Please fill out the information below if anything is different from above.

 

Address

City

State

Zip

Home Phone #