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Lake Erie Lightning Registration Form


Please fill in this form completely before you click "Submit" at the bottom of this page.
Lake Erie Lightning Regitration
 * Indicates required  
Please select all the check boxes that apply for your registration. For instance if you are registering for tryouts and a team camp please check both check boxes to inform the organizations administrators.
  Type of Registration
  *Check all that apply.
  Athlete's Information
First Name *
Last Name *
Middle Initial

  Athlete Contact Information
Home Address *
Home Address Line 2
City *
State *
Zipcode * Eg: 10533
Phone Number * Eg: xxx-xxx-xxxx
Cell Number Eg: xxx-xxx-xxxx
  check here to allow texting to this phone

  Other Information
Email Address * Eg: xxx@xxx.xxx
Date Of Birth * Eg: mm/dd/yy
Gender *
Height * ft in
Uniform Shirt (Adult Sizes)
Uniform Shorts (Adult Sizes)
Uniform #

  Educational Information
School Name
Current Grade
Graduation Year

  Parents Information
Mother's Name
Email Address Eg: xxx@xxx.xxx
Phone Number Eg: xxx-xxx-xxxx
Work Number Eg: xxx-xxx-xxxx
Cell Number Eg: xxx-xxx-xxxx
  check here to allow texting to this phone
Father's Name
Email Address Eg: xxx@xxx.xxx
Phone Number Eg: xxx-xxx-xxxx
Work Number Eg: xxx-xxx-xxxx
Cell Number Eg: xxx-xxx-xxxx
  check here to allow texting to this phone

  Medical Information
Insurance Carrier
ID Number


         

NOTE: This form will not be submitted unless you have all the required fields complete.