KICKS™ ... Kickball powered by MOC Sports

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Pre-Registration Form

Thank you for your interest in Season II of KICKS™ - Raleigh's NEWEST! Premier Adult Coed Kickball League ... powered by MOC Sports.

Team and individual registration options are available. Please help us in spreading the word about KICKS™ and we look forward to seeing you on the field!

When: Season Starts February 12th, 2012
Location: Sanderford Road Community Park, 2623 Sanderford Road, Raleigh, NC 27610

Fees
Team: $325.00 (Max Roster: 14)
Individual: $40.00

DO NOT COMPLETE THIS FORM IF YOU ARE ALREADY ON A TEAM!

Please fill out the information completely.

Name:
Address:
City, State, Zip
Home Phone:
Work Phone:
Cell Phone:
Email:
Reenter Email:
Date of Birth:
Gender:	Male Female
Registration Type:	Individual (Please add me to Free Agent Draft Pool) Captain (I'm Bringing Team)
Team Name: *only if registering a TEAM
Team Colors: *only if registering a TEAM	Primary Secondary
Estimated Roster Count *only if registering a TEAM	(max. 16)
Experience: If Any...Beginners Welcome!!!	(in years)
College:	information used for player profile
How Did You Hear About KICKS™:
Registration Code:
Referred By:
What the scouts are saying about you:	Type Comment Here