Parent Name

First Name

Last Name

Player Name

First Name

Last Name

Player Birthdate

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DD

YYYY

Boy/Girl

Email

Phone

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How did you hear about Rebels Carlsbad?

Anything we should know about your player?

Director Coach Mindes Dorlean shares how the Rebels Carlsbad community creates an environment where players and families feel nurtured and supported.

Questions? Contact us at Hello@RebelsCarlsbad.com.