I understand, although I register, it is tentative pending the approval of my parish priest and coach. I have read and understand the Rules as well as the Waiver & Assumption of Risk.

I understand and AGREE that the following late registration terms must be met:

I will pay a $100.00 late fee to “The Coptic League” in remuneration for this tardiness.

Please mail the check to:

The Coptic League P.O. Box 2786 Orange, CA. 92859.

If all criteria are not met fully, no other accommodations will be made to include these
individuals into the league this year. Thank you for your cooperation.

I understand that by ONLY submitting this form I am NOT allowed to participate in the league UNTIL I submit the late fees and letter to the league: INITIALS

Select League
---College BasketballHS Boys BasketballGirls Basketball

Select Team
---Anaheim BelieversBellflower KnightsCovina EaglesHigh Desert UnityIrvine SaintsLos Angeles HalosLos Angeles LionsNorthridge DefendersOrange CenterOrange County AngelsPomona WarriorsRiverside BraveheartsSanta Monica MissionariesTorrance Titans

First Name

Last Name

Jersey Number

Street Address

City

Zip Code

Primary Phone Number
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Your Email Address

Age

Date of Birth
MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day01020304050607080910111213141516171819202122232425262728293031 Year200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950

Father of Confession
---HG Bishop SerapionFather Abraam AyoubFather Abrahim Aziz GindiFather Angelos YoussefFather Antonios Younan SolimanFather Antony AttallahFather Antony SelimFather Athanasius RaghebFather Augustinos HannaFather Bishoy Aziz BastawrosFather Bishoy GobreialFather Bishoy KamelFather Bishoy Mikhail BrownfieldFather Boules BakyFather Daniel Azer SousFather Daniel HabibFather David AbdelsayedFather David EliasFather Essac Milad AndrousFather Felimon MikhailFather Gawargious KoltaFather Gregory BishayFather Ishak Boulos AzmyFather James SolimanFather John MikhaelFather John Paul AbdelsayedFather John Shafik BotrosFather Joseph BoulosFather Kyrillos IbrahimFather Kyrollos WassilyFather Lazarus YassaFather Luke SidarousFather Macarius ShehataFather Markos HannaFather Mauritius MikhailFather Meina Albeir YoussefFather Michael GabrielFather Mikhael IbrahimFather Mina GirgisFather Mina Shoukry GhebrialFather Mina Wahba YoussefFather Paul MegallyFather Raphael HannaFather Shenouda GhattasFather Thomas RizkallahFather Youhanna FaridFather Youhanna IbrahimFather Youhanna YoussefFather Youssef ZakiFather Zocima El MoharrakyFather Zocimus KneiberOther

What Church do you attend most?

Did you play for a different team last year?
Yes No 

If yes, which team?
---Anaheim BelieversBellflower KnightsCovina EaglesHigh desert UnityIrvine SaintsLos Angeles HalosLos Angeles LionsNorthridge DefendersOrange CenterOrange County AngelsPomona WarriorsRiverside BraveheartsSanta Monica MissionariesTorrance TitansOther

Emergency Contact Information
Please note: This information cannot replicate the registrant's information

Contact's First Name

Contact's Last Name

Relationship to Player

Contact's Street Address

Contact's City

Contact's Zip Code

Contact's Primary Phone Number
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Contact's Secondary Phone Number
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Upload Your Picture for the Player Directory (Optional)

Additional Info or Comments

I certify that the information I have provided is accurate and complete and that I have not registered under any other name or team. Player must initial here to accept this agreement :