YOUTH PROFESSIONALS SPORTS DEVELOPMENT (Football Only) Sports Registration
Please only use one form per child. (Must have for cheerleaders) Family E-mail address .
Email address *
FOOTBALL INFORMATION:
Today's Date *
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Football Player *
FOOTBALL PLAYER INFORMATION
(Player) First and Last Name *
(Player) Gender *
(Player) Birthday *
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(Player as of May 31st 2018) Age *
(Player ) Please list the school *
Will the child try out for Middle School football: Y / N *
Please list the names and ages of siblings who will also be participating in the Y.P.S.D.: *
PARENT/ GUARDIAN INFORMATION
Parent(s) First and Last Name *
Relationship to player *
Full Address, City, State, Zip *
Contact Number *
Emergency Information:
Please complete
Emergency # (Other than parents #) *
(Emergency) Relationship to player: *
Child's Doctor *
Doctor's contact *
Hospital Preference *
Name of Insurance Company & Policy Number: *
Please list any physical or medical problems (to include allergies, medications, asthma) that the league should be made aware of: *
Comments:
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