Registration (Cash/Check) Complete the form below then pay your registration fees by cash or check. Personal InformationPlayer's Name* First Last Parents Email* Players Email Home PhonePlayer's Mobile PhoneParent's Mobile Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player's Date of Birth* Month Day Year Age as of Next July 1* This is the USAV age bracket cutoffSchool InformationSchool Name* Grade*Select belowPre SchoolKindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeFreshmanSophomoreJuniorSeniorPosition on Team Parent / Guardian Name* Uniform InformationShirt SizeSelect belowSmallMediumLargeX-LargeShort SizeSelect belowSmallMediumLargeX-LargeProgram InformationPlease select the program you are applying for*Coastal Summer ($400.00)Coastal Shrimps: age 7 to 9 as of next 7/1/25 ($375.00)Coastal Shrimps: age 10 to 12 as of next 7/1/25 ($450.00)Clinic Program: age 13-18 as of 7/1/25 ($525.00)Club Level: ($875.00)Open Level Deposit $600.00NOTE: The above prices DO NOT include the NERVA/USAV league membership feeRegistration Total $0.00
