QRD Tarheels Football Registration Form

Clinton Township Tar Heels Pre-Registration

*Note: No fees are due at this time, if you pre-register you will still need to complete our official registration process.

*After completion of registration return to our home page and join us on GroupMe. GroupMe is mandatory and allows you to stay updated on our daily activities.
Player/Participant Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player/Participant Date Of Birth

MonthDayYear
Date
Player/Participant Age Group
Gender

FemaleMaleDon't want to identify
Offense or Defense

OffenseDefenseDon't Know
Player/Participant Preferred Position
Player/Participant Height
Height in inches
Player/Participant Weight
Weight in lbs
Please Upload Player/Participant Photo

Cancelof
Parent Or Legal Guardian Name

First NameLast Name
Parent Or Legal Guardian Phone Number
Please enter a valid phone number.
Parent Or Legal Guardian E-Mail
example@example.com
Comments
Should be Empty: