ProgramLocation*click here to select oneMorrisville Development CentersRaleigh/Wake Forest AcademyPasscode (from your Academy acceptance email)Tryout #AcademySelect AcademyMorrisville AcademyRaleigh/Wake Forest AcademySupplemental Academy TryoutsSession(s) Registering For Morrisville Dev Centers* Winter 2 - 2017 Summer - 2017 Session(s) Registering For Morrisville Functionals* Winter 2 - 2016 Supplemental Academy Tryouts Price: If past registration deadline and attending the tryout, player is considered a "walk-up", and will be charged $30 on the day of the tryout.Morrisville Development Centers (Winter 1) Price: Morrisville Development Centers (Winter 2) Price: Morrisville Development Centers (Spring) Price: Morrisville Development Centers (Summer) Price: Morrisville Functionals (Winter 1) Price: Morrisville Functionals (Winter 2) Price: Academy Registration PricesAcademy Fee Price: Raleigh/Wake Forest Academy Tryouts Price: If past registration deadline and attending the tryout, player is considered a "walk-up", and will be charged $30 on the day of the tryout.Raleigh/Wake Forest Development Centers (Winter 2) Price: Raleigh/Wake Forest Development Centers (Spring) Price: Summer Play Price: Total $0.00 Player InfoPlayer's First Name*Player's Last Name*Player Birthdate* MM slash DD slash YYYY Disability (optional disclosure) Player has a disability Disability Self DisclosurePlease disclose any disability or information that would assist us in accommodating your child's participation in NLA activities.Player's Age Group*U7 (Born 1/1/2010 - 12/31/2010)U8 (Born 1/1/2009 - 12/31/2009)U9 (Born 1/1/2008 - 12/31/2008)U10 (Born 1/1/2007 - 12/31/2007)U11 (Born 1/1/2006 - 12/31/2006)U12 (Born 1/1/2005 - 12/31/2005)Player's Age Group*U7 (Born 1/1/2010 - 12/31/2010)U8 (Born 1/1/2009 - 12/31/2009)U9 (Born 1/1/2008 - 12/31/2008)U10 (Born 1/1/2007 - 12/31/2007)U11 (Born 1/1/2006 - 12/31/2006)U12 (Born 1/1/2005 - 12/31/2005)Player's Age Group*U11 (Born 8/1/2004 - 7/31/2005)U12 (Born 8/1/2003 - 7/31/2004)U13 (Born 8/1/2002 - 7/31/2003)U14 (Born 8/1/2001 - 7/31/2002)U15 (Born 8/1/2000 - 7/31/2001)Player's Age Group*U9 (Born 8/1/2006 - 7/31/2007)U10 (Born 8/1/2005 - 7/31/2006)U11 (Born 8/1/2004 - 7/31/2005)U12 (Born 8/1/2003 - 7/31/2004)U13 (Born 8/1/2002 - 7/31/2003)U14 (Born 8/1/2001 - 7/31/2002)Player's T-shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargePlayer's Gender* Male Female Player's Dominant Foot* Right Left Both Parent or Guardian - Contact InfoName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Phone #*Work/Alternate Phone #Contact Email* Email that NLA can communicate to you with.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Would you like to add a 2nd parent/guardian contact? Yes Optional 2nd: Parent or Guardian - Contact InfoName Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Home Phone #Work/Alternate #Contact Email Email that NLA can communicate to you with.Untitled
