Player Registration – Test

Please fill out the registration form and a Stampede representative will reach out to review your registration.

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Name

First

Last

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Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

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Emergency Contact

Emergency Contact Name

First

Last

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Emergency Contact Phone

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High School Attended

Primary Position

YouTube or Vimeo Link

College/s Attended

Secondary Position

Hudl Video Link

Height

Highest Level Played

Weight

Years of Experience

Please Upload a Photo of Yourself

Click or drag a file to this area to upload.

Team History

Please list the teams you’ve played for beyond high school.

Registration Information

Registration Fee

Price: $1.00

Stripe Credit Card

HARRISBURG STAMPEDE

ARENA ADDRESS
Harrisburg Stampede
2300 N. Cameron Street
Harrisburg, PA 17110

TEAM ADDRESS
Harrisburg Stampede
234 State Street
Suite #103
Harrisburg, PA 17101
1-855-HBG-HERD
info@hbgstampede.com