On-1 Football Registration Form

ASSOCIATED TEAM
2025 Season Registration

Season 1
Representing
Player Nick Name
Player first & Last Name*
Player Birth Date*

MonthDayYear
Offensive Team Pos
Position from 1-5
Defensive Team Pos
Position from 1-5
Player Position

OffenseDefenseEither offense or DefenseSeasoned Player (lite tackle only or Flag)Coaching (fill in this with an option above)
Personal/Parental Contact Name*
Parent info for Minors only
Personal/Parent Contact Phone*

Area CodePhone Number
Personal/Parent Contact E-mail*
Address: Street
City, Zip Code
In Town Resident

YesNo
Are you Vaccinated?*

YesNo
Just wanna Referee
Comments / Questions:
Phone Number

Area CodePhone Number
Email
example@example.com
Should be Empty:

2025 Season Registration