ATHLETE REGISTERATION FORM

ATHLETE REGISTRATION

Sport

Football
Cheerleading

Child Name

Date Of Birth

Age as of July 1st

School

2nd Child

Child Name

Date Of Birth

Age as of July 1st

School

3rd Child

Child Name

Date Of Birth

Age as of July 1st

School

Parent Info

Parent Name

Phone

Email

Address

Address Line 1

City

State

Parent Info

Parent Name

Phone

Email

Emergency Contacts

1.Emergency Contact

2.Emergency Contact

Phone

Email

Allergies

*N/A if none

Medical Notes

*N/A if none

PARENT/GUARDIAN CODE OF ETHICS

Parents are expected to model respect and sportsmanship at all events

Well-being First: Prioritize the child’s safety, health, and enjoyment over winning.
Respect for Officials & Coaches: Accept decisions without public outburst, recognizing that volunteers and officials are not perfect.
Positive Role Model: Model sportsmanship, applaud good play by both teams, and avoid badgering or taunting.
Controlled Behavior: Abstain from alcohol, tobacco, and foul language at games.
No Coaching from the Stands: Allow coaches to coach and players to play without conflicting instructions.
Respectful Environment: Encourage children to treat opponents and teammates with respect, regardless of skill or background.

Parent Responsibilities

Support: Transport children to events, ensure they are prepared, and support the team.
Communication: Address concerns directly with coaches in a professional manner, rather than during or immediately after a game.
Safety: Inform coaches of any health conditions or injuries.

Parent Pledge

"I will remember that the game is for youth not for adults".

Parent / Guardian Name

Checkboxes (copy) (copy) (copy) (copy)

I agree to the follow rules

LIABILITY WAIVER AND MEDICAL CONSENT

I acknowledge inherent risks and consent to emergency medical treatement if necessary

I agree to the waiver and medical consent

MEDIA RELEASE (Photo/Video)

Permission to use photo/video for program promotion

Yes
No

CONCUSSION AND INJURY ACKNOWLEDGMENT

I unterstand concussion signs and agree to report immediately

I acknowledge and agree

Student Athlete

Common Themes in Student-Athlete Pledges

Sportsmanship: Committing to fair play, controlling temper, and respecting opponents, regardless of the outcome.
Character & Ethics: Acting with integrity, honesty, and responsibility in the classroom and in competition.
Team Unity: Supporting teammates, promoting inclusivity, and standing against discrimination or division.
Commitment: Attending practices, working hard, and maintaining academic eligibility.

Checkboxes (copy)

Maintain Good Grades

Checkboxes (copy)

Respect Teammates & Staff

Checkboxes (copy) (copy)

Do Your Best

Signature

Clear Signature

Date

Sport

Tackle Football - $175.00
Cheerleading - $250.00

2 Jerserys 1 Pants insurance

Square

Card

Name on Card

ATHLETE REGISTRATION

2nd Child

3rd Child

Parent Info

Parent Info

Emergency Contacts

PARENT/GUARDIAN CODE OF ETHICS

LIABILITY WAIVER AND MEDICAL CONSENT

MEDIA RELEASE (Photo/Video)

CONCUSSION AND INJURY ACKNOWLEDGMENT

Student Athlete

Contact Form