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)