Athlete Name
Athlete Date of Birth
Region?
- Region - Area 14 - Macomb Area 13 - Genesee and Flint Area 15 - Oakland Area 20 - Washtenaw Area 23 - Wayne Area 26 - Detroit Area 29 - Lenawee & Hillsdale Area 34 - Monroe Area 5 - Mecosta, Oceana, Osceola, & Newaygo Area 6 - Montcalm & Ionia Area 8 - Eaton & Ingham Area 11 - Bary & Kent Area 12 - Ottawa, Allegan, & Muskegon Area 16 - Calhoun & Kalamazoo Area 17 - Berrien, Cass, & Van Buren Area 18 - St. Joseph & Branch Area 19 - Jackson Area 27 - Livingston Area 28 - Clinton Area 1 - Delta, Menominee, & Schoolcraft Area 35 - Chippewa, Luce, & Mackinac Area 36 - Alger, Baraga, Houghton, Keweenaw, & Marquette Area 38 - Iron & Dickinson Area 39 - Gogebic & Ontonagon Area 7 - Clare, Gladwin, Gratiot, & Isabella Area 9 - Arenac & Bay Area 10 - Huron, Tuscola, Sanilac, & St. Clair Area 22 - Saginaw & Shiawassee Area 30 - Midland Area 31 - Iosco Area 2 - Antrim, Benzie, Grand Traverse, Leelanau, & Kalkaska Area 3 - Alcona, Alpena, Presque Isle, & Montmorency Area 4 - Crawford, Ogemaw, Oscoda, & Roscommon Area 24 - Lake, Manistee, & Mason Area 32 - Missauke & Wexford Area 33 - Charlevoix, Cheboygan, Emmet, & Ostego
Address
Email
Phone
Parent/Guardian Name (if applicable)