Miracle League | Moody, AL

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Miracle League Team Registration Form

Each registered organization can bring up to two teams.

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Team Name *

Roster *

		First Name	Last Name	Email Address	Gender	Date of Birth
new team member

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact Name *

Emergency Phone *

Select the size of your free event apparel *

Free merchandise will only be available at opening ceremony

First and Last Name of the Student Ambassador. *

Please be precise - this could help them win a SCHOLARSHIP!

Make a Donation

Adopt An Athlete
click here, to learn more about this cause

Amount $

Waiver *

I have read and agreed to the TERMS *
Click here to view the TERMS.

Is the participant 18 or older? *

18 or older Under 18

Do you want to be added to our mailing list for updates on upcoming events?

Payment Details

Discount or Tracking Code

Apply

Do not COPY & PASTE the code, please type it into this field.

Price

Discount (-)

Handling

Donation

Total Owed

Payment Method

Visa/Mastercard

Purchase Purchase Cancel

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