Join Hicktown Nation

Athlete's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Mother's Name *

First Name

Last Name

Mother's Phone *

(###)

###

####

Father's Name *

First Name

Last Name

Father's Phone *

(###)

###

####

Read below and confirm you understand. *

I understand that prior Hicktown players will be chosen first to fill a spot on the team and that by filling this out does not guarantee my Athlete a spot to play for the 2026 Season and will be based upon who has played before, who signed up first, and # of available spots per team

Yes

Best Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you willing to help as a parent in any of the following capacities? *

None

Coach

Team Mom

Keeping Gamechanger ( scoring)

Help Board with various activities e.g stuffing envelopes, running errands