Sport:
Start Date:
Team Name:
Age Group & Gender:
Contact Person:
Phone Number:
Address:
City, State & Zip:
E-Mail Address:

Send one check for $100 payable to 'XTREME Sports Center'. (The $100 is your deposit. The balance is due before your first game). You must include signed athlete waiver forms (available on web site) for each athlete on your team.

Please mail your registration form and deposit to: Xtreme Sports Center, 354 South Warminster Road, Hatboro, PA 19040.

If you have any questions, please call Jay at 215-672-1175 or e-mail Jay at: xtreme354@aol.com.