New Athlete – Long Island Venom

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Athletes Name *

First

Last

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Date of Birth

Athletes Grade *

If between grades, list the grade the player will be in at the start of the next school year.

Has Your Athlete Played Flag Football Before? *

What Position Does Your Athlete Play? *

Can You Share Any Videos? (Input URL link)

Tryout Date *

We encourage all athletes to attend BOTH tryout dates. If your athlete is unable to attend both, please notate within the message section.

Parent/Guardian Name *

First

Last

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Parent/Guardian Phone *

Parent/Guardian Email *

Hometown *

How Did You Hear About LIVNM? *

Message to Long Island Venom