* = Required information
Failure to include all information may invalidate your registration!

Parent or legal guardian information:

First Name*  

Last Name* 

In what league did you child participate in during 2009?*  

Street Address*  

City* 

State* 

Zip Code*  

Home telephone*  

Email address*  

PLEASE BE CAREFUL TO ENTER YOUR CORRECT AND VALID EMAIL ADDRESS AS YOUR REGISTRATION CONFIRMATION WILL BE EMAILED TO THIS ADDRESS!

Football player or cheerleader information:

Child's last name* 

Child's first name*  

Child's date of birth*  -- mm/dd/yy

Child's sex* Male Female

Child's weight*   

Choose one of the following activities*

Football Player
Cheerleader

Choose one of the following teams (by age/weight)*:

 

**The weight listed in this column represents the MAXIMUM weight that a player may be at official weigh-in in August.

SELECT A TEAM:

Varsity
Junior Varsity 
Super Midget
Midget
Pee Wee

Mighty Mites(Flag)

Please enter any comments, questions, or requests for other information here:

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