2025 MYO Tackle Football Registration

Tackle Football Registration Form

Tackle football registration. Each parent/guardian is responsible for bring a check for volunteer dues to the first practice($50). If we do not receive this your child may not be able to participate or may not recieve a uniform until check is recieved.
Date Today

MonthDayYear
Date

Player/Child 1 Information:
Player 1 Name*

First NameLast Name
Player 1 Date of Birth*

MonthDayYear
Player 1 Age*
Grade Fall 2025

Third GradeFourth GradeFifth Grade
Ethnicity of Player: *** Information will be used for future grant opportunities

Prefer not to answerAmerican Indian or Alaska NativeWhiteAfrican American or BlackAsianNative Hawaiian or Other Pacific Islander

Player/Child 2 Information (if applicable):
Player 2 Name

First NameLast Name
Player 2 Date of Birth

MonthDayYear
Player 2 Age
Grade Fall 2025

Third GradeFourth GradeFifth Grade
Ethnicity of Player: *** Information will be used for future grant opportunities

Prefer not to answerAmerican Indian or Alaska NativeWhiteAfrican American or BlackAsianNative Hawaiian or Other Pacific Islander

Player/Child 3 Information (if applicable):
Player 3 Name

First NameLast Name
Player 3 Date of Birth

MonthDayYear
Player 3 Age
Grade Fall 2025

Third GradeFourth GradeFifth Grade
Ethnicity of Player: *** Information will be used for future grant opportunities

Prefer not to answerAmerican Indian or Alaska NativeWhiteAfrican American or BlackAsianNative Hawaiian or Other Pacific Islander

Checkout Selection*

Tackle Football

Registered Tackle Football Participants$40.00

Select if registering 1 player/child.

Quantity

Total $0.00

Parental/Guardian Consent
Waiver I am fully aware that this sport activity may cause accidental injury to athletes. I likewise assume any and all possible risk that may cause injury, illness, or death arising to such activity. I hereby declare that I waive my right to pursue any and all claims against the Commission and the Organizing Committee of this event should in any case that the accident, injury, illness or death occurs in the course of any activity held by them.
Name*

First NameLast Name
Date Signed*

MonthDayYear
Date
Should be Empty:

Tackle Football Registration Form