OLQM Parish-Flag Football Intramural Grades K & 1
2016-2017 Fall Flag Football Intramural Registration Grades K-1st
Season runs Sunday, Oct 2nd to November 6th
Game times dates are as followes: Oct. 2,9, 16, 23, 30 and Nov. 5-6th Game time and pracitce will be betweeen 1:00 & 3:00 pm.

OLQM Intramural Athletics is a parish-based program that is dedicated to the development of youth as a student athlete by encouraging them to express Catholic values, sportsmanship and fair play that leads to a positive athletic experience.

Cost for early register to play is $130, checks payable to OLQM PA.  **Early Registration are registration received before 8/31
Checks & registration received after August 31st will be at the cost of $160.
There is no cost of uniforms, OLQM will provide Jersey/shirt and flags to wear for the games.  Jersey/shirts and Flags must be returned at the end of the season or their will be a fine of $50.00 for replacement
Checks can be mailed or dropped off to the Parish Office  (Attn: Angela Rotter)

Any Questions please feel free to contact Angela Rotter arotter@olqm-parish.org
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Child Last Name *
Child First Name *
Parent(s) First Name ( and Last Name if different) *
Home Phone
Cellular Number *
Grade (2015-2016 school year) *
Address (Please include full address) *
Email(s) *
You will be notified by email, so please list the email(s) that you want the information to be sent to.
Child Birthday *
Example: 06/19/04
What school Does your child attend? *
Example: OLQM or Beverly
What parish do you attend? *
Example: OLQM
The above player has my permission to participate in OLQM/Brother Rice intramural Flag Football Program. My son/daughter is in good health and I understand that participation involves risk of serious injury.  I agree to assume full personal and financial responsibility and release and agree to hold harmless Our Lady Queen of Martyrs School (including director, volunteers, coaches, officials and employees) for liability for any injuries, stolen or damaged possessions, liability, losses, costs, or any other damages that may be incurred as a result of the above player participation. *
Checking this box is your electronic consent to allow the above player to participate. Must be a Parent or Legal Guardian to complete.
Are you willing to help assist a team? *
Required
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