Spring 2025 Rosenberg Panthers Football Registration

Spring 2025 Rosenberg Panthers Football Registration

Fill out the form carefully for registration
Participant's Name*

First NameMiddle NameLast Name
Age (As of 7/31/25)*
Birth Date*

MonthDayYear
Jersey Number 1*
Jersey Number 2*
Jersey Number 3*
Preferred Position *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Name*
E-mail*
example@example.com
Mobile Number*
Participant's Allergies*
Participant's Medical Conditions*
Name of Participant's Physician*
Physician's Number*
File Upload - Birth Certificate

Cancelof
File Upload- Participant Head Shot Picture

Cancelof

Bylaws/Code of Conduct Agreement*

I agree to the rules and regulations that govern your organization.
WAIVER OF LIABILITY RELEASE FORM
I am aware of the nature of this sport and I hereby assume responsibility for blanks* (Participant Name) to participate and to be photographed for publicity purposes. I will not hold the ROSENBERG PANTHERS ORGANIZATION and/or its coaches responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of the ROSENBERG PANTHERS ORGANIZATION prior to participation in this program.
Multi Participant Discount:

2+ $10 off each participant

3+ $20 off each participant
Signature*

Clear
Date*

MonthDayYear
Date

Payment Options*

Spring Football Registration (Pay Now)

$80.00 Quantity

Spring Football Registration (Pay Offline)

$ Free Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Cash App Pay

Afterpay

WAIVER OF LIABILITY RELEASE FORM