Player Registration

Please use the following form to submit your player registration.

Player Name

Your Email

Phone

Address

Grade

Gender

School

DOB

Parent/guardian name

Special notes

By completing this registration form and sending it to the CT Defenders I recognize that the Connecticut Defenders and all associates will do their best to ensure a safe experience, I understand that accidents may occur both from my child’s participation in youth sports activities and from transportation to and from the program. I agree to assume these risks. By signing below, I release the Connecticut Defenders of Middletown, CT and its employees, volunteers, independent contractors, directors and agents from all liability based on any damage, loss or injury whether it is the result of ordinary negligence or otherwise, caused to my child, to me, from participation in the youth sports program.

(Parents or Guardians must complete this form)