Participant Sign Up Form

This form is to sign up, and let us know a little about you. Fields with an asterisk (*) are required.

Please also complete the waiver and medical info forms. You may bring those with you to your first practice, or email them to arussell@teamverge.org.

You will get a confirmation email response from Coach AJ within 72 hours of signing up. Looking forward to seeing you out there!


Select the practice locations where you will participate. *
Participant Name *
Participant Name
Your Name *
Your Name
Please tell us a little about what your are looking to get from this. Why are you joining us? *
Check all that apply
Are you also hoping to improve any of the following? *
Check all that apply
Please list
Will any of them be helping at practice? *