LATEST NEWS

Bold City Battalion > REGISTER

REGISTER

Please enable JavaScript in your browser to complete this form.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

DATE OF BIRTH

Phone

Player Email

Gender

Male
Female

Position

Guardian's Name

First

Last

EMERGENCY CONTACT

Name

First

Last

Phone

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge
I understand that false or misleading information on my application may result in my release.

Please read and download our consent form Here.

←
Contact Us

Contact Form
Facebook
Instagram
Twitter
YouTube
Phone
Custom Link