Player Registration

Please fill out the registration form and a Representative will reach out to review. After you've submitted your form, you will be redirected to a page to make your payment.

Please enable JavaScript in your browser to complete this form.

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

Relationship

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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: $250.00

You will be taken to a link to process your registration fee after you have submitted your registration form.

Stripe Credit Card

Credit Card field is disabled, Stripe keys are missing.

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