Mainland Sports Complex Registration Form

8002 Sand Pebble San Antonio, TX 78250

210-200-8511

Select a sport Player Last Name Player First Name

Sex: M F

DOB Jersey Size

Jersey Number First Preference

Jersey Number Second Preference

Jersey Number Third Preference

Parent/Guardian Last Name (if applicable) Parent/Guardian First Name (if applicable) Mailing Address City Zip Primary Phone Number Email

I would like to volunteer as a Coach/Assistant Coach. Yes No

Coach/Player/Team Preference (Optional) Special Requests (Optional) Dollar amount of payment (Do not enter decimal)

Other payment methods include by phone or in person

Billing Address Billing Zip Code Credit Card Number Expiration Month Expiration Year Card Verification Number I authorize Mainland Sports Complex to charge my credit card the amount I have entered above for this registration

Mainland Sports Complex Registration Form

8002 Sand Pebble San Antonio, TX 78250

210-200-8511

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Mainland Sports Complex

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