Player Name
*
First Name
Last Name
Nickname
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Height
*
Height in inches
Weight
*
Weight in lbs
Please choose your preferred position for offense.
Please Select
Offensive Line
Quarterback
Wide Receiver
Halfback/Running Back
Fullback/Running Back
Tight End
Kicker (punt, kick off, field goal, extra point)
I'll play wherever I'm needed
I have speed and can catch
I just want to hit people
Unfamiliar with football positions"
Please choose your preferred position for defense.
Please Select
Defensive Line
Linebacker
Cornerback
Safety
Kicker (punt, kick off, field goal, extra point)
I'll play wherever I'm needed
I have speed and can catch
I just want to hit people
Unfamiliar with football positions
Years of experience in tackle football (including this season)
List other sports, the competitive level (ex: high school, recreations, college, etc...), and years of experience you've played in the past.
Employer/Company Name
Title/Position
Do you have a government-issued ID?
*
Yes
No
Working on that
Do you have proof of Health Insurance?
*
Yes
No
Working on that
How did you hear about us
*
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