Applying for membership does not guarantee a spot on a team.  Openings are subject to available team positions.  All applicants will be placed on a waiting list and notified as soon as an open position is available. FOR MORE INFORMATION CONTACT: Rosann Hampton, Membership Coordinator: (734) 479-4550

Player Name (Last)                     (First)                        Birth date (mm/dd/yy)

Parents Name (Last)                   (First)

Phone Number                          e-mail address

Address

(Street)    (City)

MIOH (State)    (Zip)