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  1. This form must be completed with payment or $100 deposit for your registration to be accepted.

    General Information, please fill in all required fields *
  2. Full Name:*
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  3. Date of Birth:
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  4. Address:*
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  5. City:*
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  6. State:*
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  7. Zip Code:*
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  8. Phone:
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  9. Email:*
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  10. Gender:*

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  11. Skill Level:*


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  1. Program/League Information


    (Fill in all appropriate information)
  2. Sport:
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  3. Program Type:
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  1. Baseball:

  2. Softball:

  3. Flag Football:

  4. Fastpitch:

  5. Soccer:

  6. Baseball Session Level:
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  7. Softball Leagues:*
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  8. Softball Divisions:*
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  9. Softball Night:
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  10. Baseball Session:*
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  11. Fastpitch Camp:
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  12. Fastpitch Tournaments:
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  13. Fastpitch Clinics:
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  14. Flag Football Indoor Leagues:
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  15. Flag Football Outdoor Leagues:
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  16. Flag Football Tournaments:
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  17. Soccer Indoor Leagues:
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  18. Soccer Outdoor Leagues:
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  19. Session (Choose One):
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  20. Team/Player Name:*
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  21. Your Position:*
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  22. Program Name:
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  23. Age Category:*
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  24. Deposit

    A Registration Deposit of $100.00 is required for all League's, Camp's & Clinic's. After clicking submit, you will be directed to Paypal to process your payment by Visa, Mastercard or Paypal.


  25. Total Payment Today

    $0.00 USD

  26. The above named participant has my permission to participate in activities at the Connecticut Sportsplex. I understand and agree with the Connecticut Sportsplex Fee Policy. The entire remaining balance is due two weeks from the start of the program. A credit card authorization may be required to be signed by the customer authorizing Connecticut Sportsplex to debit outstanding balances for payments past due, team cancellations (drops) and any obligated referee or forfeiture fees not paid.


  27. Optional - send us a note or ask a question
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