Football Player Registration

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Updates There remains a $25 fee to play football. We are no longer accepting online payments. We will be collecting cash, check, or credit card payments at either opening ceremonies or the first game. Thank you for your cooperation. Game Dates 8/10, 8/24. 9/14, 9/21. 9/28, 10/12 Games Start at 9am

Player

Player First Name *

Player Last Name *

Player Birthdate *

Player Age *

School Name *

Parents

Parent 1 First Name *

Parent 1 Last Name *

Parent 2 First Name

Parent 2 Last Name

Address & Contact

Primary Address *

Phone *

Email *

Emergency Contact *Other Than A Parent

Emergency Phone *

Miscellaneous

Official Diagnosis *

(if one is not established please describe disability)

Jersey Size *

Played Before? *

Previous Buddy If they have played before

Parent Willing To Volunteer *(field supervision, dugout, team parent, coach, etc)

Fundraising *Registration, Jersey and activities throughout the year are all paid for. Are you willing and committed to help out with our fundraising activities that help support our year round sports and social outings?

Notes

Any special notes that you would like to share regarding your child that you feel is important for us to know prior to start of the season

Verification

Please enter any two digits *Example: 12
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