2024 Trench Mob Team Registration Form

2024 Trench Mob 5v5 Big Man

Registration Form
PLAYER INFORMATION
Full Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Graduating Class
Gender:*
Uniform Size:*
Identification

A copy of all state issued ID cards or birth certificates will need to be submitted ASAP so there is no delay in getting this season off the ground. If there are any additional questions please email trenchmobinfo@gmail.com.
Please upload a CLEAR, valid copy of the player's ID or birth certificate

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Parent / Guardian

If parents or Guardians are in separate household please list them under Emergency Contact.
Full Name:*

First NameLast Name
Relationship to Child:*
Address: Where the child(dren) stay at primarily *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone:*
Email*
example@example.com
Can you accept text messages?
EMERGENCY CONTACT INFORMATION
Full Name:*

First NameLast Name
Relationship to Child:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone: '*

I hereby grant permission to allow my child to participate in activities (i.e. practice, tournaments, etc) as sponsored by Battle of the Trenches Foundation - Trench Mob Big Man Team.

Furthermore, I hereby release the Battle of the Trenches organization, it’s officers, agents, and coaches from any legal or financial responsibility resulting from actions of, or injury to my child while engaged in any or all of these sponsored activities (i.e. practices, games, competitions). It is my understanding that every registered participant will be covered by their own personal insurance.

I also certify that my child has NO HEALTH OR PHYSICAL IMPAIRMENTS which will hamper his/her ability to perform as a player/cheerleader or cause his/her participation to be unsafe to themselves or other participants. If there are any health/physical problems the Battle of the Trenches should be aware of please indicate below:
WAIVER INFORMATION
Health/Physical Limitations with medication if any (if NONE just write N/A):*
I authorize the Battle of the Trenches to use my child(dren) image and/or likeness in official media, including: Our website, promo material, newsletters and related media.*

YesNo

Payment

ALL payments are non-refundable. Registration fee of $1,000 is due by March 1, 2024. To complete registration, submit your payment or deposit of $250 by December 1, 2023. To make additional payment arrangements, please email trenchmobinfo@gmail.com. Failure to pay by the due dates listed could result in your player being removed from the team.

My Products

High School Registration

$1,000.00

Out Of State Player Registration

$500.00

Registration Deposit Remainder due by March 1, 2024. Must confirm payment plan with Administrator.

$250.00

Training PaymentWill be billed weekly

$35.00

Middle School Registaration

$500.00

Enter coupon

Total

$0.00

2024 Trench Mob 5v5 Big Man