Parent/Guardian Information

First & Last

Please use the following format: (xxx) xxx-xxxx

Is Berean Bible Church your ‘home church?'

Player Information

First & Last

Please use the following format: f’ i"

Please use the following format: mm/dd/yyy

Medical Release and Consent

Please let us know about health concerns, food allergies, and any important concerns you feel would better help us better meet the needs you your player.

By checking the box above, I am agring to the the conditions of the Parental Medical Release Form.

Please click the button once. The submission process may take up to 30 seconds.

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