I certify that I have read all terms and conditions as described in the above document, and that I have discussed them with the Club North representative named within, and that I fully understand, accept and agree to be bound by the terms.
Providing names, and dates in the following spaces, act as legal signatures pertaining to joining Club North.
 
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Example: 07-15-18
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Club Reps Name / Signature:
Patty Reynolds
 
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Example: 14U
 
Provide Player's Address
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Provide parent / guardian contact info:
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Example: 816-321-4567 (include area code)
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* Use either Upper or Lowercase letters CAPTCHA
Once you have filled out the form to your satisfaction, provide the security code, then click SUBMIT. Your info will be sent to us and you will be taken to our online payment system provided by GroundWork.
Click the Submit Button only once; do not double click.
If, on clicking Submit, you get a RED screen - scroll back up to review; you have inadvertently failed to provide information in a "required" field(s).