Chesapeake Bay Dawgs Registration Form

Player Name*

First NameLast Name

Age Group*

8U10U12U

Is this player's first time playing contact football?*

NoYes

Date of Birth*

Date

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent Name

First NameLast Name

Parent E-mail*

example@example.com

Parent Phone Number*

Please enter a valid phone number.

Jersey Number (List 2)*

Jersey numbers are not guaranteed

Please list at least 1 emergency contact (Name, Phone, Relationship)*

Physician Name and Contact

Please list any medications or allergies your child may have (not required)

Please upload photo of USA Football ID (not required)

Please read and sign

*I understand that I am signing my child up for full contact, youth football. I hereby certify that all information about afore said player has been filled in and is true and correct. I realize this football team program is a non-profit organization. This is a voluntary program instituted for the benefit of the children in our community and I therfore, hereby agree to hold no party connected with the team activities responsible for injuries to my child during normal pursuit of said activities. If my child is injured during football play, or in conjunction with this sport or activity, I hereby authorize the coach or manager of the organization, Elite Youth Sports Inc., to botain medical attention, to include surgery for said emengency. I agree to pay all medical and hospitals cost for my child's treatment. In the event we are unable to reach the physician listed above, treatment may be rendered at a clinic or hospital that has been designated by the Chesapeake Bay Dawgs football team.

*I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.

Helmet Size

Shoulder Pad Size

Register - Multiplayer Discount automatically added*

Spring Football - Early Bird Registration Product Image

Spring Football - Early Bird RegistrationRegister for spring football. Registration includes O-D football camp. Early bird ends February 1st. The spring season begins March 1st. This fee is non-refundable.

$125.00 Quantity
Item subtotal:$0.00

Spring and Fall Combo - BEST VALUE Product Image

Spring and Fall Combo - BEST VALUERegister for spring and fall football. Registration includes O-D football camp and registration for both spring and fall seasons. Early bird ends February 1st. This fee is non-refundable.

$300.00 Quantity
Item subtotal:$0.00

Fall Football - Early Bird Registration Product Image

Fall Football - Early Bird RegistrationRegister for fall football. Registration includes O-D football camp. Early bird ends February 1st. The fall season begins August 2026. This fee is non-refundable.

$175.00 Quantity
Item subtotal:$0.00

Fall Cheer - Early Bird Registration Product Image

Fall Cheer - Early Bird RegistrationRegister for fall cheer. The fall season begins August 2026. Early bird ends February 1st. This fee is non-refundable.

$175.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I agree to the terms and give approval for my child to participate in this program.*