Welcome! Use this form to register for a membership, sports league, instructional class or tournament. Membership at the SportsPlex is NOT required to participate in leagues, classes and tournaments.

* Denotes required field
*First Name
*Last Name
*Address 1
Address 2
*City
*State	-select a state- Alabama Alaska Alberta Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
*Zip/Postal Code
*Email Address
*Phone Number 1
Phone Number 2
Become a member Membership Type -select a membership type- Student Adult 2-Person Family # of Family Members 1 2 3 4 5 6 7 8 9 10 Membership Term -select a membership term- 1 Week 1 Month 2 Months 3 Months 6 Months 12 Months 18 Months 24 Months Membership Fee (Membership Fee + $20/Person Registration Fee)
- or -
Register for a program Sport Basketball Soccer Volleyball Flag Football Jazzercise Other Sport League/Class Name Sport Tournament Name Sport League/ Class/ Tournament Start Date Sport League/ Class/ Tournament Fee
*Credit Card Type	Mastercard Visa
*Credit Card Number (No spaces or dashes)
*Credit Card Expiration	1 2 3 4 5 6 7 8 9 10 11 12 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
*Credit Card Security Code	(What is this?)
*Cardholder Name