Please complete the registration form below. ALL FIELDS ARE REQUIRED. You may choose to pay by credit card or mail a check to
BLYFA, P.O. Box 62, Big Lake, MN 55309.

Already registered but now choosing to pay by credit card? (There is a minimal service fee for credit card transactions.) Access the Payment by Credit Card here.
 
     
Player's Name
 
Address
 
City
 
State
 
Zip
 
Grade (Entering Fall 2012)
 
Height
 
Weight
 
Parent/Guardian
 
Home Phone
 
Cell Phone
 
Email
 
 
Emergency Contact
(other than parent)
 
Home Phone
 
Cell Phone
 
Email
 
 
Volunteer (you must choose one!)
 
 
Registering for
 
 
I will be paying by
 
 
 
         
 
 
 
 
 
       
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