Brookland Youth Football Registration Form 2026

Brookland Youth Football is a competitive tackle football program for students who attend Brookland Middle School and will be entering grades 4th through 6th.

• Please follow the “Brookland Youth Football” page on Facebook for info, communication, and important dates.

• Age limit: Any player who turns 13 before 9-1-26 is NOT eligible. A COPY OF THE PLAYER'S BIRTH CERTIFICATE IS MANDATORY FOR ALL INCOMING FOURTH GRADERS OR PLAYERS WHO HAVE NOT PLAYED IN THE PAST. Birth certificate copies or photos can be uploaded in the field below or emailed to cnewman@bpsbearcats.com.

• Cost: $70 per player (PAYMENT LINK IS EMBEDDED IN THE FORM BELOW)

• Parents/Guardians are responsible for transportation of the player to and from practices and games. Some games will be played out of town.

• Players need to be registered by August 1st.

• There will be a mandatory parent meeting announced at a later date.

• Parents interested in volunteering to coach please contact Casey Newman at: 870-776-9367 or cnewman@bpsbearcats.com

Brookland Youth Football Payment Link

Birth Certificate Photo Upload

PLAYER’S NAME:

PLAYER’S AGE:   Type a label

PLAYER’S DOB:   Type a label

PLAYER’S PARENT or GUARDIAN:   Type a label

ADDRESS:   Type a label

Parent/Guardian Contact 1:    Type a label

PHONE (1):   Type a label   Accept Text Messages:

Parent/Guardian Contact 2:    Type a label

PHONE (2): Type a label   Accept Text Messages:

GRADE ENTERING IN AUGUST 2026:   Type a label

I understand that my child will be playing a contact sport. I give permission for   Type a label   (player name) to participate in the youth football program. I understand there is a risk of injury while participating in a contact sport. In the event of illness or injury, I authorize the Bearcat Coaching Staff to seek appropriate medical treatment, in the event that the parents cannot be reached. By typing my name below I consent to the above.

First Name Last Name Date

Brookland Youth Football Payment Link