Kauai Aloha Sports
  Registration Form
Please complete ALL fields below.
Parents Contact Information
First Name
Last Name
Address
City      State      Zip

Phone (with area code)

Email

CareFree Itinerary Number


Child's Information
Full Name
Date of Birth

Type of Sport:
Baseball    Softball

SPECIAL INSTRUCTIONS/COMMENTS:




EMAIL AUTHENTICATION CODE

Please enter the letters displayed in the in the picture above into the box below.

Then click the submit button below.

NOTE: If you are unable to read the letters in the picture above,
press the
F5 key located on the top-middle of your keyboard
and a new picture will be displayed.


 

Return to Home Page
Copyright © 2007 , Kauai Aloha Sports