Players $99.00      Travel      House

Goalies $75.00

Players Name Player's Parents

Address City State Zip

Phone E-Mail

Players Date of Birth

Each application must be accompanied by 100% of players registration fee.  Full payment due with application.  There is a 10% discount for each additional player of the same family.  All applications will be confirmed by mail.  Enrollment is limited and applications must be on a "first come, first served" basis.  All checks made payable to: PLAYERS EDGE, 2662 Diamente Drive, Westfield IN 46074.  Thank You

Method of Payment:

Sending Check/Money Order (Full Payment is Required)

Credit Card

(Please enter your credit card information or Call Players Edge at (877) 707-EDGE after submitting this form for credit card payment.) 

Mastercard         Visa       Discover

Credit Card Number Expiration Date

Amount to be charged