Football and Cheerleading Registration Form 2025

2025 Springfield Sports Association Inc

Football and Cheerleading Registration Form
ATHLETE INFORMATION
Full Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:*

Area CodePhone Number
Age:*
Birth Date:*

MonthDayYear
Gender:*
T-Shirt Size:
Sport*

FootballCheerleading
Grade entering in Fall 2025:
School Entering Fall 2025:
I authorize the Springfield Sports Association Inc to use my child's image and/or likeness in official media, including: Our website, promo material, newsletters and related media.*

YesNo
PARENT/GUARDIAN #1
Full Name:*

First NameLast Name
E-mail:
Home Phone:*

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Can you accept text messages?
PARENT/GUARDIAN #2
Full Name:

First NameLast Name
E-mail:
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Can you accept text messages?
EMERGENCY CONTACT INFORMATION
Full Name:*

First NameLast Name
Relationship to Player:
Home Phone:*

Area CodePhone Number
Cell Phone:

Area CodePhone Number
WAIVER INFORMATION
I hereby grant permission to allow my child to participate in activities (i.e. football, cheerleading, baseball) as sponsored by Springfield Sports Association Inc

Furthermore, I hereby release Springfield Sports Association Inc, it’s officers, agents, staff 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 accident 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 that Springfield Sports Association Inc should be aware of please indicate below:
Health/Physical Limitations (if any):
I/We agree with the above*

YesNo
Date

MonthDayYear
Date
Should be Empty:

2025 Springfield Sports Association Inc

ATHLETE INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION