Registration Form

If you’re interested in joining the Empire, please provide your information below, and we will contact you soon. We look forward to connecting with you.

RinaldiEmpire@gmail.com
(516) 537-2497

NAME:

First Name

Last Name

Email

Phone

(###)

###

####

Player Date of Birth

MM

DD

YYYY

Current Travel Team

Highschool Attending / Will be Attending

HS Graduation Year

Message

Registration Form

Contact: RinaldiEmpire@gmail.com (516) 537-2497