Sport Information Request Form

K - 5 Sports Phys. Evaluation Registration Form

This event is solely for elementary student-athletes (K - 5th grade). Complete the form to register for October 25th's Pop Up Evaluation Clinic at our Main Street Campus.
Student's Name*

Last NameFirst Name
Student Grade Level*
Does you scholar have any allergies?
Please add all relevant allergies above.
Uniform Size

Shirt SizePants SizeShoe Size
Athlete's Sizes*

Jersey SizeBottom Size
Parent/Guardian's Name*

First NameLast Name
Parent's E-mail*
example@example.com
Parent's Phone Number*
Please enter a valid phone number.
Which Winter team will te evalutation be for? Click all that apply.*

BasketballCheerleading
The Elementary pop up physical evaluation event will be hosted at our Main Street Campus. Please see the event information below:

Total Cost: $40.00 (via Cash, Cash App, Zelle)

Date: Saturday, October 25, 2025

Time: 10 am - 2 pm

Location: 749 Main St. Riverdale, GA 30274

**Please Note: We added an additional hour to the event.**
Will you be participating in our $40.00 Physical Evaluation Clinic on Saturday?*

No, we'll provide one by the deadlineYes, I agree to the 40.00$ fee.
When can we expect you?*
Please pick the date that works best for you.
Should be Empty:

K - 5 Sports Phys. Evaluation Registration Form