PALUMBO FOOTBALL
This form is REQUIRED to be filled out for Fall 2020 FOOTBALL Tryouts for The Academy at Palumbo. It is to be used by all current students AND incoming NEW students wishing to tryout. Tryouts are in August..exact dates will be emailed to you. Upon completion of this form, you will be told to get the PIAA permission packet signed. These forms must be filled out by your parents/guardians AND a Physician. No other form is acceptable and parents must grant permission to play.
FIRST NAME *
LAST NAME *
STUDENT ID#
The number you use to get lunch. If you are going to be NEW to the School District of Philadelphia, TYPE N/A.
GRADE IN SCHOOL 2020-2021 *
DATE OF BIRTH *
MM
/
DD
/
YYYY
ARE YOU A TRANSFER?
10TH
11TH
12TH
YES
Clear selection
PLAYER EMAIL(SCHOOL DISTRICT) *
Must be your SCHOOL DISTRICT EMAIL. IF you are new to the School District of Philadelphia, type "N/A" for not available yet.
PARENT/GUARDIAN FIRST NAME *
PARENT/GUARDIAN LAST NAME *
PARENT/GUARDIAN EMAIL *
PARENT/GUARDIAN CELL PHONE # *
for a sports communication app
2ND PARENT/GUARDIAN FIRST NAME(optional)
2ND PARENT/GUARDIAN LAST NAME(optional)
2ND PARENT/GUARDIAN EMAIL(optional)
2ND PARENT/GUARDIAN CELL #(optional)
HAVE YOU PLAYED ON AN ORGANIZED FOOTBALL TEAM BEFORE? IF YES PLEASE WRITE FOR WHOM(example- middle school team, pop warner, etc) *
WHICH POSITIONS HAVE YOU PLAYED
HAVE YOU PLAYED AN ORGANIZED SPORT BEFORE? *
WHAT POSITION DID YOU PLAY?
ONLY ANSWER IF YOU ANSWERED YES TO THE PREVIOUS QUESTION.
WHAT IS YOUR HEIGHT?
WHAT IS YOUR 40 TIME? *
DON'T KNOW IT? PUT N/A
Submit
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