Payment - Dive KC

Member's Information

First

Last

Diver's date of birth

What level of swimmer are you?

Select your swimming level 1 - 10.

Diving Skill

Number of previous seasons played

Check all positions previously played

Trying out for... (select all that apply)

Player Bats

Player Throws

Parent/Guardian Name

First

Last

Parent/Guardian Email

Parent/Guardian Phone

Permission & Agreement

I give the player stated here permission to play in this softball league pursuant to all the terms and regulations that apply.

I agree to the following charge