Capital Centre - Aim High Sports

League Registration

   
Team Name:
League Name:
Competition Level: (Circle)  Recreational  Competitive
Date:      
Coach's Name:
Address:
City: State: Zip:
Home Phone:
Work/Cell Phone:
Email:
 
Method of Payment:
  Credit Card Check Money Order  
Card # EXP:
Amount:
Name on Credit Card:
Signature:

Mail to:

Aim High Sports

7977 Centerline Drive

Dimondale, MI 48821

Or Fax to: 517-646-9620

Call: 517-646-HOOP