Register Now

Fieldset

Select an AVPFirst Program *
AVPFirst Program Location *

Player Information

First Name *
MI
Last Name
Date of Birth *
Age *
M/F *
Current Grade *
School Name *
Cell Phone *
Street Address *
City *
State
Email *
List any medical issues or special needs

Parent/Guardian Information

Parent 1

First Name *
MI
Last Name *
Primary Phone
Mobile Phone *
Email

Parent 2

First Name
MI
Last Name
Primary Phone
Mobile Phone
Email
Terms and conditions *
I Agree Terms and conditions

Verification

Please enter any two digits * Example: 12
This box is for spam protection – please leave it blank: