Florida Canes Registration

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

Player Name *

Player Date of Birth *

What positions does the player play? *

How did you hear about our organization? *

Preferred way to contact *

Phone

Email

Any

Terms and Conditions *

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.