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New Player ID Form

Note: You only sign up for an PBLI account ONCE in your lifetime! You will re-use this account and associated ID number for all events that you attend. If you have already signed up for an PBLI account/ID number, please use the account lookup form to look up your account information.
Tip: Information entered must exactly match your government ID.
It is important that the information you enter is correct. A few seconds spent now will save you time later.
* indicates required information
Login Information
Please Choose a User Name*:
Please Choose a Password*:
Please Confirm your Password*:
About You
Your First Name*:
Your Middle Name:
Your Last Name*:
Suffix (Jr/Sr/III/etc)*:
Birth Date*: / /
Gender*: Male Female
Contact Information
Your Email Address*:
Confirm Your Email Address*:
Phone Number*:
Address (Line 1)*:
Address (Line 2):
Zip/Postal Code*:
Privacy Policy: All information provided on this form is kept in a database maintained by the PBLI. Identifying information (Birth Date, Address, Phone, E-mail) will not be shared with any other party except with your express permission or when your PBLI account or ID number is used to register for an event or service provided by a third party, in which case PBLI may share that information with that particular party.
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