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All players must sign and turn in a waiver and a Players Code of Conduct form!

New Mexico Youth Day Team Registration

Team Name *
Team name is required

If this team played in the Corbin Hayes 4th of July Basketball Extravaganza, enter the team name here (this will reserve a spot in case your division is filled).
Team Name In 4th of July Tournament

Emergency Contact *
Emergency contact is required
Emergency Contact Phone Number *
Emergency phone number is required Please enter phone number, including area code

Division *
Please select an item.

Captain

Name *
Captain's name is required
Street Address *
Street address is required
Address Line 2

City *
City is required
State *
State is required Please use 2-letter state code Please use 2-letter state code
ZIP Code *
ZIP Code is required Please enter 5 numbers
Phone *
Phone number is required Please enter phone number, including area code
Email *
E-mail address is required Please enter a valid e-mail address

Player 2

Name *
Player name is required
Street Address *
Street address is required
Address Line 2

City *
City is required
State *
State is required. Please use 2-letter state code Please use 2-letter state code
ZIP Code *
ZIP code is required Please enter 5 numbers
Phone *
Phone number is required. Please enter phone number, including area code
Email *
Email address is required Please enter valid email address

Player 3

Name *
Player name is required
Street Address *
Address is required
Address Line 2

City *
City is required
State *
State is required Please use 2-letter state code Please use 2-letter state code
ZIP Code *
ZIP code is required Please enter 5 numbers
Phone *
Please enter phone number, including area code Phone number is required.
Email *
Email address is required Please enter valid email address

Player 4 (optional)

Name

Street Address

Address Line 2

City
State
Please use 2-letter state code Please use 2-letter state code
ZIP Code
ZIP code is required Please enter 5 numbers
Phone
Phone number is required. Please enter phone number, including area code
Email
Email address is required Please enter valid email address

Player 5 (Optional)

Name

Street Address

Address Line 2

City
State
ZIP Code
Please enter 5 numbers
Phone
Please enter phone number, including area code
Email
Please enter valid email address