MAA Flag Registration Form

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

Player Name*

First NameLast Name

Guardian / Parents Names*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Home Phone*

Area CodePhone Number

Cell Phone

Area CodePhone 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 NameLast Name

Relationship*

Phone Number*

Area CodePhone 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*

YesNo

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