2023 Fall Football Registration Form
When registering for TACKLE please choose players 2023-2024 grade level.  

                                                                          FLAG FOOTBALL - GRADES K-3rd
                                                                          TACKLE FOOTBALL - GRADES 4th-8th

TACKLE FOOTBALL- Grades 4th-8th
                                 Registration is open       COST: $300
                                                                  (Team fundraiser will also be required)
FLAG FOOTBALL - Grades K-3rd
                                 Registration is open       Cost: $150

**All tackle players will need a current medical physical before they can practice. You should schedule this to be completed before August 1st.

*Submit a new form for each player you are registering.

If cost is an issue for your family and you have the need for a payment plan option, please contact  erin.yeargin@holtfootball.com   

*Refund policy - Refunds will not be made after games begin.
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Email *
Have you played for the Jr. Indians before?
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Did someone refer you? If so, who?
Player's grade level for TACKLE use 2023-2024 School year.
Player's grade level for FLAG use 2023-2024 School year.
What school does your child attend? (These teams are only for students attending schools in the Holt feeder pattern.) *
Player Last Name *
Player First Name *
Player's Address *
Player's T-shirt size *
Does player have any health issues coaches should be made aware of? If  yes, Please note here.
Parent #1 Last Name *
Parent #1 First Name *
Parent #1 Phone Number *
Parent #1 Email *
Parent #2 Last Name
Parent #2 First Name
Please check all areas you might be interested in helping in.
Payment method - Pay by credit card or check. Checks can be mailed to PO Box 236 Wentzville, MO 63385 and must be postmarked by the deadline to avoid late fee and insure a placement. *
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