Baldwin Bombers Youth Football
2024 Registration Form
Are you a new player?
Please Select
Yes
No
Player Name
First Name
Last Name
Player Age (as of November 30th)
Player Date of Birth
-
Month
-
Day
Year
Player Weight (approximate)
Player Address
Street Address
Street Address Line 2
City
State
Zip Code
School Attending
School District Number
(Baldwin's School District Number is 010)
Grade Entering this Fall
Please Select
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Parent 1
First Name
Last Name
Relationship
Parent 1 Cell Phone Number
Please enter a valid phone number.
Parent 1 Email Address
example@example.com
Parent 2 Name
First Name
Last Name
Relationship
Parent 2 Cell Phone Number
Please enter a valid cell phone number.
Parent 2 Email Address
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Relationship
Emergency Contact Cell Phone Number
Please enter a valid phone number.
Have you ever played in the NCYFL?
Please Select
Yes
No
If yes, when and what town did you play for?
Do you need a new helmet?
Please Select
Yes
No
All new players will be required to purchase helmet
Consent of Parent or Guardian: As the parent or legal guardian of the child named above, I hereby give my full consent and approval for my child to participate as a team member in the Nassau County Youth Football League (NCYFL) program. I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in traveling and other related activities incidental to my child's participation in the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities. In addition to giving my full consent for my child's participation. I do hereby waive, release and hold harmless the NCYFL, its organizations, officers, coaches, sponsors, supervisors and representatives for any injury that may be suffered by my child in the normal course of participation in the designated sport and the activities incidental thereto, whether the result of negligence or any other cause.
Signature
Payment Options
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5/6 Year Old Registration Fee
$
150.00
7-13 Year Old Registration Fee
$
225.00
Helmet
You must see Coach Jef to be sized.
$
170.00
Bill me Later
Coach Brandon will contact you with details on payment
$
Free
Zelle Payment (payment@baldwinbombers.com)
When paying Zelle please leave your players name and purchase item in the comment.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
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