Fall Tackle & Cheer Inquiry/Participation Form

Fall Tackle & Cheer Inquiry/Participation Form

Must be completed for new, returning, and prospective athletes.
Interested in ...
Experience Level
Athletes Legal Name

First NameLast Name
Athletes Date of Birth

MonthDayYear
Date
Age as of 7/31/25 (how old will they be on or as of this date?)
Does the athlete have any medical conditions or accommodations we need to be made aware of? (Ex: Asthma or ADHD)
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)
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?
Athlete has permission to participate in skills, drills, and activities put on by AZ Renegades from now forward.
Primary Parents Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / 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?
Emergency Contact

First NameLast Name
Emergency Contacts Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I would be interested in information on....
Would you be requiring payment arrangements/plans or tuition assistance?
Are you ready to register and secure your roster spot today?
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.
Should be Empty: