Please enable JavaScript in your browser to complete this form.Kickball League Individual Registration Form - Please Read: Please put your "team name" if you want to be placed on a team with other individuals. You must be paid in full within 48 hours of completing this registration form. After completing this step, please have each of your team members go to the online team member waiver form and complete it. All team members must have the waiver form completed at least 30 minutes prior to the first game in order to participate with your team. Please give each team member your "Team Name" to enter when they go to complete their form. I agree that there are no refunds unless the program is canceled. Choose a Season *Please Choose OneFall - Sep/OctChoose a Payment Option *Please Choose OneFull Payment (includes fees & taxes) - $55.00Contact *FirstLastTeam Name (put "None" if you want to be placed on a team and DO NOT already have one. *Email *EmailConfirm EmailCell Phone *Comments/Additional NotesPayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameSubmit