By providing my name and date in the following spaces, I agree to the above Parental Release/Hold Harmless Agreement First & Last Name * Today's Date * Player Participant Information Select Level of Competition * Boys 5-6th Grd. Semi-Competitive/Competitive Boys 7-9th Grd. Semi-Competitive/Competitive   First Name * Last Name * Address City State Zip Birth Date (Month Day, Year) * Ex. 10-12-2017 Current Grade School Attending *   Parent / Guardian Contact Information Parent First & Last Name * Parent cell phone # (include area code) * Ex. 816-123-4567 Parent E-mail Address * Parent #2, Cell Parent #2, E-mail   Other Information Provide any schedule requests or conflict information. Requests filled ONLY AS AVAILABILITY ALLOWS! Coach Requested (if none, type in "none") * Does your child have a buddy that they would like to be teamed with? If so, provide the "first and last" name of the buddy. (if none, type in "none") *   Once you have filled out the form to your satisfaction type in the following security code, then click Submit. NOTE that if you have inadvertently left out required information a red screen will appear, scroll up to see what you have missed, provide the response, then click the Submit button again. Please note, that once at snap.spend.com, that the dates provided on the payment page are “registration dates,” not “league play” dates. Security Code * *Click the Submit Button ONLY ONCE! Upon submission you be taken to our online credit card payment system provided by Snap! Spend. Scroll down to select BOYS 5-6th or BOYS 7,8,9th Winter League --- NOTE that you must have access to your e-mail to receive any code generated by Snap! Spend to initiate the payment process. --- Don't see the e-mail? Check your spam folder or use the link provided on the KCP registration page.