Coed Youth Flag Football League -
Registration Form
For more information, contact: Jim Becker, Flag Football Chairman – Muskego Athletic Association Email:
jimb@themaa.org
or Phone: (414) 737-2611
Athlete Information
Age Group
Please Select
PeeWee 5-6yrs old
Youth 7-8
Junior 9-11
Senior 12-14
Player Name
*
First Name
Last Name
Guardian / Parents Names
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
E-mail
*
Important Notes
· Dress appropriately. · No food or drink in the gym. · Keep the gym clean. · The league organizers reserve the right to form the teams to ensure the talents of all teams are balanced. · Fee: $15 (cash) per participant. All the money will be used for prizes and buying food drink for end of season small party.
Emergency Contact & Health Insurance Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
*
-
Area Code
Phone Number
Release of Liability
Thank you for your participation in the Muskego Athletic Assoc. Flag Football Program. We ask that you please read the following statements carefully. By signing this form,you acknowledge that participation in the MAA Flag Football by the above registrantswaives and releases all claims from injuries, damages or losses incurred from MAA Flag Football. DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT. By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below
I have read and agree to the above conditions
*
Yes
No
e-Signature
Confirmation E-mail
*
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at
jimb@themaa.org
Submit
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