Miracle League | Moody, AL

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Miracle League Registration Form

Each Registered Organization can bring up to two teams

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Miracle League Team - $100.00

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Select the size of your free T-Shirt *

Free merchandise will only be available at opening ceremony

Team Name *

Roster *

		First Name	Last Name	Email Address	Gender	Date of Birth
new team member
showing 0 rows

First and Last Name of the Student Ambassador. *

Please be precise - this could help them win a SCHOLARSHIP!

Make a Donation

Adopt an Athlete
click here, to learn more about this cause

Amount $

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

Do you want to be added to our mailing list for updates on upcoming events?

Payment Details

Discount or Tracking Code

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Do not COPY & PASTE the code, please type it into this field.

Dummy (v6)

Price

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Shipping

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Refund Protection

coverage $

Donation

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Payment Method

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