SRC Youth Tackle Football 2019
For students 4th, 5th, and 6th grade. League will play 8-man tackle football, with additional '5th' quarter following games. Team will practice 2-3 nights/week before first game, then 1-2 nights afterwards. Home and away games with league schools. Players will be required to have completed KSHSAA physical, consent for medical treatment, and concussion form before first game.
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Email address
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Participant Name
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Address (Street, City, Zip)
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Date of Birth
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MM
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YYYY
Grade 2019-2020
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4th
5th
6th
Gender
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Female
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Uniform Top Size
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YS
YM
YL
AS
AM
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AXL
Other:
Medical Conditions (if any)
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Parent/Guardian
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Your answer
Parent/Guardian Mobile Phone Number
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Emergency Contact (Name & Phone #)
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