Winter League 2005 Registration

Personal Info. First Name: * Last Name: * Nick Name: Address1: * Address2: City/State/Zip: * (Phone Format: "XXX-XXX-XXXX") Phone 1 Number: * Ext: Phone 1 Type: (select)HomeMobileWorkFaxOther* Phone 2 Number: Ext: Phone 2 Type: (select)HomeMobileWorkFaxOther Phone 3 Number: Ext: Phone 3 Type: (select)HomeMobileWorkFaxOther Email Address: * Gender: Male  Female * DOB: (MM/DD/YY) Referred by: Allow contact information viewable on website: (eg. Primary Phone, Email & Name only) (* - Required Field) Self-Ranking Are you a 'junior'? (High School Student or 18 and younger)?: Yes  No * Have you played Dallas Winter League before?: Yes  No * Experience: (select) 1-New Player 2-Played Pickup 3-WL/Other Tournaments 4-Sectionals/Regionals 5-Worlds/Nationals* Disc Skill: (select) 1-barely ever thrown a disc. 2-can throw backhand (basic yard/beach skill) but not a forehand 3-can throw backhand and forehand, not always consistent 4-solid backhand and forehand throws 5-proficient at all throws, can throw in the wind * Athleticism: (select) 1-couch potato, point me to the party. 2-color me short and slow, but I'll run 3-general athletic, usually active in sports/conditioning 4-very athletic, always active in sports/conditioning 5-outstanding in at least 2 out of 3: speed, jumping, height * Party Ability: (select) 1-Ball and chain holdin' me back! 2-Up for a drink and sandwich. 3-I've drank a disc 4-Hot Tubs and Landsharks! 5-I've slept at the polo fields. * (* - Required Field) Additional Info League preference: (select) 1-Homer (more play time). 2-prefer Homer, will do either. 3-no preference, will do either 4-prefer Burns, will do either. 5-Mr. Burns (more competitive). * Volunteer: *  Yes - I'd like to help keep WL running smoothly by helping out with some of the volunteer tasks (setting up fields, foods, etc.)  No - I'm pretty darn lazy. I will be able to play: (select) 0-20% of the games 20-40% of the games 40-60% of the games 50-80% of the games 80-100% of the games * Captaining:  Yes - I'd like to be a captain!  No - I just wanna play. Are you a dog owner that plans to bring your dog to the fields?: *  Yes  No Additional info (incl. Dates not attending): Pairing up: incl. Comments for specification.. (* - Required Field) Payment Options (You're Late! Registration ended 11/28!) For Juniors (High School / 18 and under), the price is $30.00. (you must sign and submit a waiver and medical release.) For newcomers, the price is $40.00. For previous Winter-Leaguers...it's $45.00 You are NOT considered registered until you pay!. ($5 has been added because you're late!) Please choose your method of payment: *  Send in a check  Pay by Credit Card (preferred!)  Everyone is required to read the waiver (liability release) before being admitted to play. Additionally, there are special requirements if you are under the age of 18.

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