Terry Outlaws Football & Cheerleader Registration Form
BEAT US IN 4
Participant's Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
Date
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Legal Guardian Name
Name
Emergency Contact
Home Phone
Cell Phone
Cell Phone
Emergency Contact
Name
Emergency Contact
Home Phone
Cell Phone
Cell Phone
Choose One
Football $100
Cheerleader $100
Player Team Age Group
Please Select
A Team (11-12)
B Team (9-10)
C Team (7-8)
D Team (5-6)
13 Youth
Cheerleader
Participant's Allergies
Participant's Medical Conditions
Waiver Of Liability Release
Registration fees will be non-refundable. Participant's are to be photographed for publicity purposes. I will not hold the Terry Outlaws Youth Football and Cheerleading Team and / or it's employees responsible in case of an accident or injury because of this participation. I understand that this completed form must be in the possession of the Terry Outlaws Team prior to participation in this program. I am also aware of and have received a copy of all rules and code of conduct that's expected to be followed by the parents, players, and cheerleaders.
Legal Guardian Signature
Name
Emergency Contact
Date
Cell Phone
Cell Phone
Submit
Should be Empty: