El Paso Killa Beez Youth Flag Football Registration Form

1
Parent/Guardian
First Name
Last Name
2
Child’s Name
First Name
Last Name
3
Date of Birth
Date
Year
Month
Day
4
Phone Number
Please enter a valid phone number.
5
Medical Conditions
Huge
Large
Normal
Small
Ok
Ok
6
Previous ExperienceDoes the child have previous experience playing football?
YESNO
7
Nickname/Jersey Name
8
Requested Jersey Number
9
How did you hear about us?
Facebook
Flyer
Word of mouth
Other
10
Consent and Liability Waiver"I agree to allow my child to participate in the El Paso Killa Beez training camp and understand that the team is not responsible for injuries.”
YESNO
11
Parent Signature
Should be Empty: