GCYFL | 2022 Valley Rush Football Registration

GCYFL | 2022 Valley Rush Football Registration

Gold Coast Youth Football League Player Contract
Today's Date

Month Day Year
Date
Player's Name *

First Name Middle Name Last Name
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Email Address *
example@example.com
Street Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone Number *

Area Code Phone Number
Emergency Contact Phone Number *

Area Code Phone Number
Player's Grade 2022/2023 School Year *
Player's DOB *

Month Day Year
Date
Player's Age as of 7/31/2022 *
New Player? Check 'Yes' if new to GCYFL *

Yes No
Player Weight (as of today)
Last Season's Division (for returning GCYFL players)

Mighty Mite Bantam Freshman Sophomore Junior Senior
This year's assigned division (if known):

Mighty Mite Bantam Freshman Sophomore Junior Senior
Insurance Carrier
Group #
Plan #
Take a Photo of Your Player

Non-Refundalbe Registration Deposit *

USD