Register – Harrison County Pony League

Guardian Info

Relationship to player

Your relationship to the child

Legal Guardian Name

First

Last

Guardian First and Last Name

Legal Guardian Phone Number

Guardian Phone Number

Legal Guardian Email

Guardian Email

Child Info

Child Name

First

Last

Child Name

Date of Birth

Child DOB

Choose Your League (Age on April 30)

The age the child will be, on April 30th

Child Jersey Size

Preferred Jersey Number

Alternate Jersey Number

Number of Children

How many children are registering?

Child #2 Info

Child Name

First

Last

Child Name

Date of Birth

Child DOB

Choose Your League (Age on April 30)

The age the child will be, on April 30th

Child Jersey Size

Preferred Jersey Number

Alternate Jersey Number

Child #3 Info

Child Name

First

Last

Child Name

Date of Birth

Child DOB

Choose Your League (Age on April 30)

The age the child will be, on April 30th

Child Jersey Size

Preferred Jersey Number

Alternate Jersey Number

Checkboxes

I agree to the Terms and Conditions.

Terms and Conditions.

Total

$0.00

Check or Card

Check / Pay Later
Card / Paypal

Choose to pay with Check, Pay Later, Paypal, or Card

Payment

Card Number

Expiration Date

Security Code

Card Holder Name