Pontiac Panthers Player Registration

Player Name

Parent Name

Address

Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

City / Zip Code

Date of Birth

Date

Jersey Number

Registration Type

Division

School Name

Current Grade

Emergency Contact Name

First NameMiddle NameLast Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Relationship

Jersey Size

Pants Size

Parent Name

Parent Signature

Signature Date

Date

Take Photo

My Products

Panther Annual - Varsity, JV, Freshman Football Players

Payment for Varsity, JV, Freshman football

$350.00 Quantity

Panther Annual - Jr. Freshman Football / All Cheerleaders

Payment for Jr Freshman football and All Cheerleaders

$250.00 Quantity

Panther Annual - Mascot

Payment for Mascot - only

$100.00 Quantity

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Afterpay

Email

example@example.com

Pontiac Panthers Team Registration

Player Information

Registration Details

Emergency Contact Information

Uniform Information

My Products

Payment Methods