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: $20.00 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: $150.00 Morrisville Development Centers (Winter 2) Price: $150.00 Morrisville Development Centers (Spring) Price: $115.00 Morrisville Development Centers (Summer) Price: $150.00 Morrisville Functionals (Winter 1) Price: $185.00 Morrisville Functionals (Winter 2) Price: $185.00 Academy Registration PricesAcademy Fee Price: $125.00 Raleigh/Wake Forest Academy Tryouts Price: $20.00 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: $150.00 Raleigh/Wake Forest Development Centers (Spring) Price: $115.00 Summer Play Price: $225.00 Total $0.00 Player InfoPlayer's First Name*Player's Last Name*Player Birthdate* Date Format: 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*MaleFemalePlayer's Dominant Foot*RightLeftBothParent 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Home Phone #*Work/Alternate Phone #Contact Email* Email that NLA can communicate to you with.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 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
