NEW PLAYER FORM (Rocket League) — Premier Sports Academy

NEW PLAYER FORM (Rocket League)

Player Name

First Name

Last Name

Alias

Player DOB

MM

DD

YYYY

RL Current Ranking

Current School

Graduation Year

Player Email

Player Cell Phone

(###)

###

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Mother's Name

First Name

Last Name

Mother's Email

Mother's Cell Phone

(###)

###

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Father's Name

First Name

Last Name

Father's Email

Father's Cell Phone

(###)

###

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Do you own a PC or Device to play RL?

Additional Information