Bombers 2022 Registration Form

Are you a new player?

Player Name

First Name Last Name

Player Age (as of November 30th)

Player Date of Birth

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

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?

If yes, when and what town did you play for?

Football Pants Size

Football Jersey Size

Jersey Number Request (Choose 3 Numbers)

Shirt Size

Shorts Size

Do you need a new helmet?

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

Clear

Payment Options

5/6 Year Old Registration Fee

$ 95.00

7-13 Year Old Registration Fee

$ 195.00

Helmet You must see Coach Jef to be sized.

$ 160.00

Bill me Later Coach Brandon will contact you with details on payment

Free

Total

$ 0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Baldwin Bombers Youth Football

Payment Methods