*First Name:
*Last Name:
Nickname:
Address:
City:
State:
Zip:
*Phone:	xxx-xxx-xxxx
*Email:
*Password:
* Male:	Female:
*Date of Birth:	month January February March April May June July August September October November December day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 Minimum age is 15
Height in inches	(optional)
Weight in pounds	(optional)

• UPA #: Not Sure? Go here.
  
• Is your UPA Membership Current?    Not Sure? Go here.
         Yes    No

10. Competed recently at Nationals or Worlds
9. Competed recently at Regionals
8. Advanced club/college player or retired 9 or 10
7. Advanced league player
6. Competitive college/more than 4 yrs league
5. Some college/some league
4. 3 or 4 years of league play
3. 1 or 2 years of leagueplay
2. Casual pickup/informal play
1. Beginner/learning to play

1. Can't Throw at all
2. Just learning to throw
3. Backhand or forehand throw
4. Both Backhand and Forehand
5. Consistent backhand and forehand with marker defense
6. Comfortable playing handler; familiar with zone defense
7. Consistent throws in challenging weather; good defense
8. Some break-mark throws; strong defensive plays
9. All throws accurate; great defense
10. Exceptional skills, all categories

1. Poor
2. Okay
3. Average
4. Good
5. Great

Please read the following waiver carefully:
I understand and appreciate that although ultimate is really fun and cool, it can be a hazardous activity. While personal injury is rare, it can happen. I hereby agree freely and expressly to assume and accept any and all risks of injury while participating in the St. Louis Ultimate League. I unconditionally release St. Louis Ultimate Association and its committee members from any and all legal liability and/or responsibility for any and all injuries or dangers that may result from my participation.

*I agree to the above waiver