Brooks Buccaneers Registration Form

Athlete Information

Athlete's Full Name (as it appears on birth certificate)

First NameLast Name

Preferred Name/Nickname

Date of Birth

Date

Gender

Grade (As of August 2026)

Sport Interested In

Football players: Please enter three jersey number choices, ranked from most to least preferred.We’ll try to honor your selections, but jerseys are assigned based on availability and are not guaranteed.

T-Shirt Size

Has your athlete previously participated with another team in the GBCYFL?

If yes, please provide team name

Parent/Guardian Name

First NameLast Name

Secondary Parent/Guardian Name

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Primary Phone:

Format: (000) 000-0000.

Secondary Phone:

Format: (000) 000-0000.

E-mail

example@example.com

Emergency Contact & Health Insurance Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Does the athlete have any allergies, chronic illness, or medical conditions that would limit high level activtiy?

Please describe

Registration Acknowledgment
By submitting this registration, I acknowledge that registration is not complete until all paper forms, waivers, and payment arrangements are finalized. I consent to media use for team promotion and agree to follow all Brooks Buccaneers and GBCYFL bylaws, policies, communication guidelines, and Code of Conduct. I understand that failure to comply may result in disciplinary action.

I have read and agree to the above conditions

Signature

Document Submission: Upload copy of the athlete’s birth certificate, insurance card, parent/guardian ID, and a recent athlete photo.

My Products

Flag Football Registration

Must be 4 by August 1, cannot turn 6 before August 1

Flag $85- Due by July 1

*If you're paying cash please attend an in-person sign-up

Registration Includes; - 2 personalized uniforms - Game Day Socks - Cancer Awareness shirt - Weigh-in Day shirt - Registration fee

*Purchase of soft helmet is required

$25.00 Quantity

Tackle Football Registration

Must be 6 before August 1 and cannot turn 12 before August 1, 6th graders allowed with age requirements

Tackle $150 (split payment) - Due by July 1

*If you're paying cash please attend an in-person sign-up

Registration Includes; -2 personalized uniforms - Game Day Socks - Cancer awareness uniform - Weigh-in Day Shirt - Helmet and Shoulder Pad Rental - Registration fee

$25.00 Quantity

Sideline Cheer Registration

Ages 3-14

Game Day $150 (split payment) - Due by July 1

*If you're paying cash please attend an in-person sign-up

Includes; Game Day uniform with bow, weigh-in day shirt with and shorts cancer awareness shirt, skort, and bow, socks, poms, backpack, and banquet.

$25.00 Quantity

Game Day Dance Registration

Must be 5 before August 1, cannot turn 14 before January 1

Game Day $150 (split payment) - Due by July 1

*If you're paying cash please attend an in-person sign-up

Includes; game day uniform with bow, weigh-in day shirt and shorts, cancer awareness shirt and skort with bow, socks, moms, backpack, and banquet.

$25.00 Quantity

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Total

Payment Methods

Credit Card

Cash App Pay

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