Football Registration

Please read the FOOTBALL COMMITMENT page before completing Registration Form

NOTE: You will be required to sign additional forms in person prior to your player being permitted to begin practice.
Registration is not considered complete until registration fees are received. Registration fees are accepted via Venmo

2021 Football Registration

* Indicates required field

Player Name *

First

Last

Player Date of Birth *

School Attending in Fall 2021 *

Grade Beginning in Fall 2021 *

Years of Football Experience *

Weight *

SIBLINGS WHO ARE PARTICIPATING IN THE PROGRAM (FOOTBALL ONLY)

Sibling Name *

First

Last

Sibling Date of Birth *

School Attending in Fall 2021 *

Grade Beginning in Fall 2021 *

Years of Football Experience *

Weight *

Sibling Name *

Sibling Date of Birth *

School Attending in Fall 2021 *

Grade Beginning in Fall 2021 *

Years of Football Experience *

Weight *

PARENT / CONTACT INFORMATION

Parent Name *

First

Last

Email *

Primary Phone Number *

Alternate Phone Number *

Residential Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different than Residential) *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact #1 *

First

Last

Phone Number *

Emergency Contact #2 *

First

Last

Phone Number *

Allergies (if none, type "None") *

Comments/Other *

I CERTIFY THAT THE FOLLOWING DOCUMENTS WILL BE SUBMITTED ON OR BEFORE THE FIRST DAY OF PRACTICE *

Birth Certificate Medical Insurance Card Medical Clearance Form (See Commitment Page) List of Medications (if any)

I HAVE READ THE FOOTBALL COMMITMENT PAGE AND AGREE TO THE TERMS AND CONDITIONS *

YES NO

Submit