NCA Academy Sports Registration 2024

Athlete's Name

Last NameFirst Name

Grade

Sport

Gender

Other

Birth Date

MonthDayYear

Parent/Guardian Name

Last NameFirst Name

Parent/Guardian Phone

ex: (412) 123-4567Format: (000) 000-0000.

Parent/Guardian Email

example@example.com

Second Parent/Guardian Name (optional)

Last NameFirst Name

Second Parent/Guardian Phone (optional)

ex: (412) 123-4567Format: (000) 000-0000.

Second Parent/Guardian Email (optional)

example@example.com

Does your child have any Medical Conditions? If so, please list

Medical Conditions

Does your child have any Allergies? If so, please list

Allergies

Athlete's T-Shirt Size

Athlete's Shorts Size

Would you like to Volunteer to help coach this season?

Does parent have clearances? (if volunteering)

Comments (not required):

** Clearances required

I understand that my child's placement on a team is not guaranteed and is dependent on the availability of volunteers and resources each season.

I understand that my child is not permitted to attend practice or games without a current sports physical form, signed by his/her physician and turned into the school.

Type Parent's Name

Today's Date

Date

Parent's eSignature (use mouse/touchpad to sign)

PLEASE NOTE that No child will be placed on a roster until:

1) The registration form is completed;
2) The appropriate fees are remitted ; and
3) A Physician’s Release Form is signed by your child’s doctor with the date of the physical.

A release form is good for 12 months from date of physical, please do not submit a physical exam.

(Forms are available on website under 'Register')

2025 Sports Registration Form