Individual Registration
   League Team $125 (Storm coached middle or high school team)
   East Lyme Skills Session $95

   Putnam Skills Session $95

 Team Registration

Complete the Athlete Information:

First Name:          Last Name:   

Address:        

City:                       State:           Zip:  

Phone:                 Cell Phone:     

School:        

Date of Birth:  (mm/dd/yyyy)

Grade:              Height:      

Position:        1    2    3    4    5

Primary Email:      

Secondary Email: 

Parent's Names:  

Notes:  
    

Please pay online or make checks payable to "Connecticut Storm" and mail to:

Connecticut Storm, P.O. Box 826, Norwich, CT 06360

I hereby request my daughter named above be admitted to this CT Storm Program. I authorize CT Storm coaches to act for me according to their best judgment in an emergency requiring medical attention.  I understand that my daughter's participation in sports activities is potentially hazardous and can cause injury or death. I clearly understand that by entering her name on this form that I am assuming all risk for any injury on or off the court during her involvement. 

Parent/Guardian Full Name:    Initial:    Date: