Player Registration

Shining Stars Player Registration
Player Name (Last name, First name)*
Returning player*
Current Grade*
Graduation Class*
High School*
Age*
Date of Birth*
Player E-mail address (if available)
Player Cell Phone (xxx-xxx-xxxx)(if available)
Parent #1 Name*
Parent #1 E-mail address*
Parent #1 Cell Phone Number (xxx-xxx-xxxx)*
Parent #2 Name
Parent #2 E-mail address
Parent #2 Cell Phone Number (xxx-xxx-xxxx)
Home Phone Number (xxx-xxx-xxxx)
Home address*
City*
Zip code*
Additional E-mail addresses (seperate w/ comma)
How did you hear of Shining Stars?*
If other - Please provide source

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