Brownsville Scorpions Flag Football Registration Form

PLAYER FULL NAME

First NameMiddle NameLast Name
PLAYER’S DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
PLAYER’S AGE
(AGE ON JULY 31, 2026)
AGE DIVISION:
FOOTBALL EXPERIENCE:
PLAYER GENDER:
PARENT FULL NAME:

First NameLast Name
ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENT PHONE NUMBER:
Please enter a valid phone number.Format: (000) 000-0000.
PARENT EMAIL:
example@example.com
DOES THE PARTICIPANT HAVE ANY MEDICAL CONDITIONS OR ALLERGIES?
HOW DID YOU HEAR ABOUT THE SCORPIONS?
FLAG FOOTBALL REGISTRATION FEE:

$50.00 UNIFORM FEE (DUE AT FITTING)

$50.00 LEAGUE FEE (DUE BEFORE CERTIFICATION DAY)

NOTE:

ABSOLUTELY NO REFUNDS ISSUED

- If a player resigns, uniforms and all fees will be forfeited to the Brownsville Scorpions organization, NO EXCEPTIONS!

- Players will not be allowed to participate in the Brownsville Scorpions program, if registration fee is not paid in full by required deadlines.

- Failure to follow attendance policy will result in partial or full game suspensions and/or termination from the Brownsville Scorpions program.

(COMMUNICATION & COMMITTMENT IS KEY TO YOUR CHILD'S SUCCESS)
Should be Empty: