2026 Fall Registration
Complete this registration form for the 2026 Fall Registration. Please provide the child’s information, parent/guardian contacts, emergency and medical details, permissions, payment information, and signature.
Child Registration
Child Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Child’s Age on January 1, 2027
*
Gender
*
Please Select
Male
Female
Non-binary
Prefer not to say
Other
Select Sport
*
Please Select
Flag Football
Cheer
Shirt Size
*
Please Select
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Acknowledge registration fee is $80 per child
*
I agree
Acknowledge registration is not complete until payment is received
*
I agree
Acknowledge fees may be non-refundable after uniforms and league costs are ordered or paid
*
I agree
Parent/Guardian Information
Parent/Guardian #1 Full Name
*
First Name
Middle Name
Last Name
Relationship to Child
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Parent/Guardian #2 Full Name
First Name
Middle Name
Last Name
Relationship to Child
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Emergency and Medical Information
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Relationship to Child
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Insurance Provider
*
Policy Holder Name
*
Policy Number
*
Preferred Hospital in Case of Emergency
*
Allergies, Medical Conditions, Medications, or Important Medical Information
Permissions, Payment, and Consent
Photography Permission
*
Please Select
Yes
No
Media Release Permission
*
Please Select
Yes
No
Authorization for Emergency Medical Treatment
*
I authorize coaches, volunteers, and staff to seek emergency medical treatment for my child if I cannot be reached.
Acknowledgment of Participation Risk
*
I acknowledge that participation in sports may involve a risk of injury.
Certification of Accuracy
*
I certify that the information provided is accurate and complete.
Pay Registration Fee Here!!
Additional Notes
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Registration
Submit Registration
Should be Empty: