2017 JCC Maccabi Games Try Out Registration Form Completion Instructions: 1. Fill out Form (as a PDF, or print and fill out) 2. Place Signature in designated area a. b. c. Click “Fill & Sign” Upper right of PDF Click “Place Signature” Place Signature in Designated Area Above “Parent Signature” at bottom of Pg. 2 3. Save and email to [email protected], or print and bring to desired tryout. Athlete Name ______________________________ Tryout Date & Sport: ________________ Gender: ___________ JCC Member (Y/N): _______________ JCC Member Number: _______________ Date of Birth: _____________ Age as of July 31, 2017: ______ School _________________________________ Current Grade (Spring 2016) ___________ Athlete’s Email Address _________________________________ Address ____________________________ City _____________ Zip _____________ Athlete’s Cell Phone ________________________ Synagogue: ________________________ Mother’s Name________________________*Mother’s Email____________________________ Address (if different)___________________________________ City __________________ Zip ___________ Mother’s Cell Phone_______________ Father’s Name________________________*Father’s Email_____________________________ Address (if different) ________________________________ City __________________ Zip ___________ Father’s Cell Phone__________________ Please complete Page 2. Page 1 Athlete’s Preferred Sports for 2017 Athletes are encouraged to try out for as many sports as they wish to maximize their chances of being selected for a team or individual sport on Team Dallas. Please indicate the top three Team Sports you are interested in playing at the 2017 Maccabi Games (in order of preference) [Possible Team Sports: Baseball, Basketball, Volleyball, and Soccer]: (1) ______________________ (2)______________________ (3)______________________ Please indicate all Individual Sports you are interested in playing at the 2017 Maccabi Games (in order of preference): ___Table Tennis ___Swimming ___Track & Field ___Tennis ___Dance ___Star Reporter ___Golf __________________________ Athlete signature __________ Date ___________________________ Parent signature Page 2 __________ Date
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