WGBOLTZ Football Registration Form
Enter your details to register for the football team.
Player Information
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Football Information
Preferred Playing Position
Please Select
QB
RB
WR
TE
LB
DB
Football Experience (years or level)
Jersey Sizes
Jersey Size
*
Please Select
XS
S
M
L
XL
XXL
Medical Information
Medical Conditions or Notes
Registration Fee
$10.00
Form of Payment:
Please Select
CashApp
Zelle
Venmo
Cash
Other
Other Payment Method:
Parent/Guardian & Emergency Contact
Parent/Guardian Name
*
First Name
Last Name
Relationship to Player
Email Address
Phone Number
Parent/Guardian Consent
*
I am the parent/guardian and I consent to this signup
Emergency Contact Name& Number
Relationship to Player:
Sign Up
Should be Empty: