Jr Red Devils Registration
Complete this form for each player you're registering. Once you click submit, you will receive a confirmation response. You MUST then scroll to the bottom of the page, select the Registration Option, and click the yellow Add to Cart button to complete the registration process.
Player's First Name *
Your answer
Player's Last Name *
Your answer
Grade in September? *
Birthdate *
MM
/
DD
/
YYYY
Parent Email address(es) *
Please separate each email address with a comma
Your answer
Parent's Name *
Your answer
Phone #s *
Please list your primary & secondary contact numbers
Your answer
Additional Parent's Name
Your answer
Phone #s
Please list your primary & secondary contact numbers
Your answer
Where do you live? *
Emergency Contact Name *
Your answer
Emergency Contact # *
If parent is not available
Your answer
Medications taken regularly? *
If Yes, please list in the space provided.
Allergies? *
If Yes, please list in the space provided
Physician's Name *
Your answer
Physician's Contact # *
Your answer
Insurance Carrier *
Your answer
Insurance ID # *
Your answer
Uniform Shirt Size? *
Parent interested in coaching? *
Payment Option *
Liability Release
I hereby release the Jr. Red Devils Football Club, its staff, board, sponsors, managers, and coaches from all liability or injury arising from or incident to participation of the above-named child in the Jr. Red Devils Football Club. I also authorize the Jr. Red Devils Football Club and its representatives to seek and obtain medical aid for said youth, if in their judgment such action is warranted, should child sustain an injury while participating in a club sponsored activity.
I have reviewed and acknowledge the liability release. *
Submit
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