New Parents/Guardians Membership Student-Athlete InformationStudent-Athlete:* First Last Birthday:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901daymonthyearYear of Eligibility:*Select valueFreshmanRS FreshmanSophomoreJuniorSeniorHousehold InformationAddress:* Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone:* Area Code - Phone Number Parent/Guardian InformationName:* First Last Relation to Athlete:*Select valueMotherFatherStep-MotherStep-FatherGrandmotherGrandfatherGuardian/OtherPreferred E-mail:*Cell Phone: Area Code - Phone Number Additional Family MemberMember Name: First Last Member's Relation to Athlete:Select valueMotherFatherStep-MotherStep-FatherGrandmotherGrandfatherGuardian/OtherE-mail: (2)Cell (2): Area Code - Phone Number PaymentSelect MembershipSelf ($75)Enter the code shown:SubmitReset