Clone of 2026 10U Tackle Football Registration (Ages 7-8)

2026 10U Tackle Football Registration $155

Register your child for the 2026 Football season. Open to ages 9-10. Please complete all required fields.
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant's Age as of September 1, 2026
Birth Certificate

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Athlete's Head Shot

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Athletes Report Card

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Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical and/or Hospital Insurance Company
Medical Information - Policy Holder

First NameLast Name
Policy Number
Does the participant have any allergies or medical conditions?
Has the participant played flag football before?
MYA Football & Cheer Player Code of Ethics (Check all)
Do you have a child another child in MYA? If so what team?
Parent/Guardian Signature I Understand Participating in MYA Activities, including flag football games and cheerleading, involves inherent risks. I assume all such risks and release MYA from liability.
Should be Empty:

2026 10U Tackle Football Registration $155