Fall Tackle & Cheer Inquiry/Participation Form
Must be completed for new, returning, and prospective athletes.
Interested in ...
Please Select
Cheer
Tackle
Experience Level
Beginner (First Time)
Intermediate (1 - 2 seasons)
Advanced (3 or more seasons)
Athletes Legal Name
First Name
Last Name
Athletes Date of Birth
-
Month
-
Day
Year
Date
Age as of 7/31/25 (how old will they be on or as of this date?)
Please Select
6
7
8
9
10
11
12
13
Does the athlete have any medical conditions or accommodations we need to be made aware of? (Ex: Asthma or ADHD)
Allergies
Asthma
Behavioral
Other Medical
If you answered yes above, please describe so we can best assist your child.
The more you disclose, the better we can accommodate/coach your child during the season.
Will the athlete require any medications/medical equipment to be on hand at practices or games? (Ex: Inhaler)
Please Select
yes, always
no, not at this time
occasionally, as needed
If you answered yes to the question above, please disclose.
Ex: Inhaler or glucose monitor
Do you give permission to our trained staff to provide over the counter medications such as Tylenol, Motrin, Cough Drops, Tums/Pepto, and etc to your athlete as needed during practices or games?
yes, only if needed
no, never
contact me first
Athlete has permission to participate in skills, drills, and activities put on by AZ Renegades from now forward.
yes
no
Primary Parents Name
First Name
Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Parents Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Parents Email
example@example.com
Will a parent or guardian be present at practices or games?
yes, always or almost always
no, we will drop off but won't be staying
the athlete requires transporation/carpool
Emergency Contact
First Name
Last Name
Emergency Contacts Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I would be interested in information on....
Org Sponsorship for tax credit
Sponsoring an athlete who can't afford to play
Being a Team Mom/Dad
Taking pictures or videos game day
Working the Snack Bar/Volunteering to discount my tuition
Would you be requiring payment arrangements/plans or tuition assistance?
Please Select
no, I plan to pay in full
yes, what are my options?
Are you ready to register and secure your roster spot today?
yes, ready to register now
interested, but still deciding
just inquiring for now
An admin will be in touch if you haven't spoken to someone already. Do you have any questions we can answer for you today? If so, please disclose.
My signature is my promise that I have been truthful and honest regarding the questions asked, and my answers provided. When ready, please sign below.
Continue
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