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2021 Burbank Vikings Youth Football/Cheer
2021 Online Burbank Vikings Youth Football/Cheer Online Registration
Football Fees: $400 Cheer Fees; $350
Please pay Fee via @ PayPal.me/burbankvikings
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Email *
Participant Last Name *
Participant First Name *
Participant Middle Initial *
Street Address
City *
State *
Zip Code *
Player Date of Birth *
MM
/
DD
/
YYYY
Age as of 07/31/21 *
Age as of 12/02/21 *
Contact Phone Number *
Emergency Contact *
Emergency Phone Number *
Name of School As of 12/01/21 *
Grade As of 12/01/21 *
PYFL 2019 Player *
Current Weight (lbs) *
Division *
Are you already part of a team or need to be placed on a team? *
Required
Name of Team/Coach last played for *
Participant's Shirt Size *
Registering Participant for: *
I agree to read and sign the league's consent forms prior to participating. *
Required
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