Long Island Wiffs

Registration

Team Name:_____________________________

Players Information

Name:

Address:

Age

Phone Number

Availability:

Days of the Week:

Time:

Contact Information:

Primary Contact:

Number:

Email:

* Fill out and mail the following information to our home address. This address can be located on our website under the contact tab. Please also include the $20 registration fee which is non refundable. Thank you and I enjoy looking forward and meeting you.