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Select one:

Team 

Player name *
Age as of April, 2019 *
Home Address *
Contact Phone *

5 vs 5 Sign-up form

Please fill in the form 5 vs 5 below

Free Agent

Note* 
  • If team selected - provide a team name and checked off if you are a team Captain.
  • All team member requires to register individually
Weight (lbs) *
Height (ft, in) *
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E-Mail *
Make Checks payable to: UCBA
Mail Checks to: UCBA P.O. Box 170, Westford, MA 01886

Mailing in full payment of $400/Team member or $40 Free Agent

Paypal/Credit transaction after submitted form

Thank You!

Team Captain 

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Are you trying out for the National Team?

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