2025 Blitz Youth Flag Football League

BLITZ YOUTH FLAG FOOTBALL LEAGUE

8-WEEK SEASON
JANUARY 11 - MARCH 8

K-6TH GRADE

If you are registering more than 1 child, please complete a registration form for each child.

Evaluations/Parent Meeting

Only ONE evaluation/parent meeting is required.

DECEMBER 10 | 6 PM
DECEMBER 12 | 6 PM
CHILD'S NAME*

First NameLast Name
GENDER*

BoyGirl
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
BIRTHDATE*

MonthDayYear
SCHOOL*
CURRENT GRADE*
T-SHIRT SIZE*

CHILD XSCHILD SCHILD MCHILD LADULT SADULT MADULT LADULT XL
Parent/Guardian #1
NAME*

First NameLast Name
PHONE #*

Area CodePhone Number
EMAIL*
parent@example.com
Parent/Guardian #2
NAME

First NameLast Name
PHONE #

Area CodePhone Number
E-MAIL
parent@example.com
Alternative Emergency Contact
NAME*

First NameLast Name
PHONE NUMBER*

Area CodePhone Number
Activity Waiver*
Is the participant covered by personal/family insurance?*

YesNo
Name of Insurer
Policy or Group #
Picture of Insurance Card

Browse Files

Cancelof
Signature
*REQUIRED*

Please choose the CORRECT division below that matches your child's current grade. We have a certain amount of spaces available for each grade to make sure that teams don't get too big.
When there are none remaining, we are full.
We are FULL in this age division. Please email JeffD@flcfit.com to join the waitlist.
When there are none remaining, we are full.
SPECIAL REQUEST

You may request EITHER a practice night OR a friend that you would like to play with. We will do our best to accommodate, but cannot guarantee we will be able to. Requests are on a first come, first serve basis.
If you pick a teammate, please give their first and last name and their current grade.
Are you interested in coaching?

YesNo

Registration Payment

Registration$130.00

Quantity

Enter coupon

Total $0.00

Credit Card

Should be Empty:

Parent/Guardian #1

Parent/Guardian #2

Alternative Emergency Contact

*REQUIRED*

Credit Card

REQUIRED