WBA Player Registration

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Player Name

First

Last

Player Email

Player Phone #

Player Address

Address Line 1

Address Line 2

City

State

Zip Code

DOB (Date of Birth )

2024 Team Manager

First

Last

WBA Team (on which player will be rostered for 2024)

Do you agree to play for only the team listed above (in the WBA) for 2024?

Number of seasons with current team

WBA League (In which the player competes)