MINNESOTA Registration for Club Beach Dig 2010

This form is for Minnesota participants only. If you looking to sign up in a different state, please click here to return to the location selection page.

Minnesota Player Registration Form

Your Price: $100.00

PLAYER INFORMATION:

Player First Name: *

Player Last Name: *

Player Email: *

Player Best Contact Phone #: *

000-000-0000 format

Player DOB: *

your birthday mm/dd/yyyy format

Player Age: *

Player T-shirt Size: *

**Shirts are in ADULT sizes

PARTNER INFORMATION:

Do you have a confirmed partner: *

Yes

If Yes, Partner Name:

PARENT GUARDIAN INFORMATION:

Parent Last Name: *

Parent First Name:

Parent Email:

Parent Best Contact Phone #:

000-000-0000 format

YOUR HOME ADDRESS
Street Address: *

City: *

State/Province:

Zip:

I understand that this is a registration fee ONLY. Monthly membership fees are required and will be due at start of season: *

Yes, I Agree

I understand this registration fee is NON-refundable, except in the case where Beach Dig LLC cancels the program: *

Yes, I Agree

Referred By:

How did you find out about Beach Dig?