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Free Agent Sign-up

  1. Your information will be shared with teams and coaches looking for players.

  2. Who is being entered as a Free Agent?*

  3. Sport of Interest*

  4. Free Agent Gender*

  5. Desired Location of Play*

  6. Parent Interested in Coaching?*

  7. How did you hear about us?*

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your form will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you acknowledge that the leagues at Okun Fieldhouse and the Mid America Sports Complex, Mid America West Sports Complex and Heritage Park are designed for team registration however JCPRD does collect data on individual players looking for teams. Coaches/Managers often contact JCPRD in pursuit of players to fill rosters or to promote a tryout. Your information will be placed on a list of eligible recruits and you will be contacted directly by a coach/manager if selected for a team or tryout. Coaches are not affiliated with JCPRD. Any coach/manager who may contact you is not a representative of JCPRD, has no affiliation with our organization, has not provided us with personal information and has not received a background check. We stress the importance of scrutiny if approached with options for play to guarantee a good fit for each person and family.

  9. Leave This Blank:

  10. This field is not part of the form submission.