TeamPages - Registration - Van Cortlandt Titans

Seasons

Registration

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hideYou should not enter any sensitive information on this page such as health data, passwords, credit cards or social security numbers. If you are being asked or need to provide this information for your registration please contact Van Cortlandt Titans directly. A secure checkout page will be used to collect your payment details on the next page.

Pricing Details

I am a returning Titan
None Selected	-
Yes	$ 200.00
No	$ 350.00

$ 0.00 Total:

Registration

Form for Fall 2021 Player Registration. Players who registered for Spring 2021 do not need to register again.

Instructions

This online registration form allows the Van Cortlandt Titans to electronically gather important information about its players and their families. In addition to online registration, parents and players must also complete and hand in the Titans Signature Packet before the Player may participate.

Please complete every question below and attach the required documents.

Information collected here is for use by the Van Cortlandt Titans organization only, and will not be shared with any other entity unless compelled by law.

*I am a returning Titan

YesNo

*Player Name:

Name:

*Player Home Address (include apartment number):

Street Address:
City: State/Province: Country: Zip/Postal Code:

Player Mobile Phone:

Player Email Address:

*Player Date of Birth:

*Player FaceBook Name (a FaceBook account is required for team communications):

*Player height and weight

*Team you played for last year (if you didn’t play last year, enter NONE):

*School you are currently attending:

*Parent / Guardian Name (living at your address):

Name:

*Parent / Guardian Mobile Phone:

*Parent / Guardian Email:

Second parent name, phone and email:

*Emergency contacts (other than parents). Enter name, relationship and mobile phone.

*List any medical conditions, including allergies (if none, write NONE).

Other information we should know about you

Instructions

For the following items, please take clear pictures with your phone, or scan in to a computer. If scanning, please save as an image file, such as JPG, PNG, TIFF or GIF. All of the following items must be submitted but if you don’t have some available right now, you can submit your registration without them and then use the Supplemental Documentation form to submit the remaining items. Please attach what you can now, as it makes it much simpler for us to complete your registration.

Birth Certificate

Latest report card

School ID

Health Insurance card – front

Health Insurance card – back

Medical exam

or cancel

Van Cortlandt Titans

Seasons

Registration

Pricing Details

$ 0.00 Total:

Registration

Instructions

Instructions

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