Player Application

Name (First & Last):   Height:  (X'XX)
Email:   Weight:  (XXX)
Phone:  (3037654321)

Favorite Subject:

  
Address:  
City:  

State:

   (XX)
Zip Code:  

 

  

Jersey #:

   (XX)
Date of Birth:

 (XX/XX/XXXX)

Current Grade:

  
Athletic & Academic Honors:
Have you  submitted a signed Medical Release?

    If no, please download below
 

Medical Release Form
fax completed form to Pertrice
(303) 320-4019

 

Or mail it to:

Pertrice Bumpas

36 Steele St. Suite 100

Denver, CO 80206