MJCC Maccabi Athlete Interest Form 2022 Memphis Delegation Question Title * 1. Please Complete the Athletes Information Below Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. What is your child's gender? Female Male Question Title * 3. Athlete's Birthdate Question Title * 4. Athlete's Grade Fall of 2022 Question Title * 5. Boys Sports - 14U must be 13-14 as of 7/31/2216U must be 15-16 as of 7/31/22Flag Football all ages 13-16 as of 7/31/22 Choice 1 Choice 2 Baseball 13/14 Baseball 13/14 Choice 1 Baseball 13/14 Choice 2 Baseball 15/16 Baseball 15/16 Choice 1 Baseball 15/16 Choice 2 Basketball 13/14 Basketball 13/14 Choice 1 Basketball 13/14 Choice 2 Basketball 15/16 Basketball 15/16 Choice 1 Basketball 15/16 Choice 2 Soccer 13/14 Soccer 13/14 Choice 1 Soccer 13/14 Choice 2 Soccer 15/16 Soccer 15/16 Choice 1 Soccer 15/16 Choice 2 Flag Football 16U Flag Football 16U Choice 1 Flag Football 16U Choice 2 Question Title * 6. Girls Sportsall sports 13-16 as of 7/31/22 Choice 1 Choice 2 Basketball U16 Basketball U16 Choice 1 Basketball U16 Choice 2 Soccer U16 Soccer U16 Choice 1 Soccer U16 Choice 2 Volleyball U16 Volleyball U16 Choice 1 Volleyball U16 Choice 2 Question Title * 7. Boys and Girls Sports Choice 1 Choice 2 Dance 13/14 Dance 13/14 Choice 1 Dance 13/14 Choice 2 Dance 15/16 Dance 15/16 Choice 1 Dance 15/16 Choice 2 Golf 13/14 Golf 13/14 Choice 1 Golf 13/14 Choice 2 Golf 15/16 Golf 15/16 Choice 1 Golf 15/16 Choice 2 Swimming 13/14 Swimming 13/14 Choice 1 Swimming 13/14 Choice 2 Swimming 15/16 Swimming 15/16 Choice 1 Swimming 15/16 Choice 2 Table Tennis 13/14 Table Tennis 13/14 Choice 1 Table Tennis 13/14 Choice 2 Table Tennis 15/16 Table Tennis 15/16 Choice 1 Table Tennis 15/16 Choice 2 Tennis 13/14 Tennis 13/14 Choice 1 Tennis 13/14 Choice 2 Tennis 15/16 Tennis 15/16 Choice 1 Tennis 15/16 Choice 2 Track & Field 13/14 Track & Field 13/14 Choice 1 Track & Field 13/14 Choice 2 Track & Field 15/16 Track & Field 15/16 Choice 1 Track & Field 15/16 Choice 2 Star Reporter U16 Star Reporter U16 Choice 1 Star Reporter U16 Choice 2 Question Title * 8. Parent/Guardian #1 Full Name Cell Phone Email Question Title * 9. Parent/Guardian #2 Full Name Cell Phone Email REGISTRATION FORM DEADLINE IS February 1, 2022. Done
