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PLAYER APPLICATION

Please fill out our application and press the SUBMIT button when finished. ALL PLAYERS MUST FILL OUT 1 (one) APPLICATION. Please use the "TAB" key to move from box to box. DO NOT PRESS "ENTER" - This will submit the form by accident! Thank you for your response and we'll contact you.

If you need more information about the trip, please click here.

PLAYER INFORMATION (for players only!):
First Name: Middle Name:
Last Name:    (Please fill in name on passport.)
Address:
City: State:
Zip Code:   Sex?:  
E-mail: Cell Phone #:
Home # : Work #:


Which Kingdom Bowl are you applying for?

Which sport will you be playing?
Birth Place: Birth Date:
Graduation Date: Coach Name:
Name on Jersey: Jersey No :
High School: Position:
Height:     ft. in.     Weight: lbs.     T-shirt Size:
Jacket Size:    Collar Shirt Size:    Game Jersey Size:
Game Pants Size:
PLAYER MEDICAL INFORMATION:
Primary Insurance Carrier: Policy #:
PLAYER PERSONAL INFORMATION:
Mother's Name: Village:
Maternal Grandfather: Village:
Maternal Grandmother: Village:
Father's Name: Village:
Paternal Grandfather: Village:
Grandmother: Village:
Please list any awards, recognition, or stats:


IF YOU DO NOT HEAR FROM THE KINGDOM BOWL WITHIN 2 DAYS, PLEASE CONTACT BACK TO THE ROOTS TRAVEL. CALL TOLL FREE: (800) 214-9266 OR LOCAL NUMBER: (808) 293-5744. THANK YOU!

                                               

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