EASTSIDE ACADEMY INC FOOTBALL CLINIC REGISTRATION FORM

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Please complete all sections of this form. After completion, click on the link for medical waiver and release. Print and bring completed form to the clinic on June 16th. All participants must have a signed medical waiver and release.

Participant Name *

Participant Age *

Participant Address *

Ex: 1234 Pine St. Oklahoma City, OK 73013

Contact Phone Number *

Please include area code

Emergency Contact Name *

Emergency Contact Phone Number *

Please include area code

T-Shirt Size *

Please check the appropriate t-shirt size for your participant. You may only choose ONE

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XL

Required

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This form was created inside of Norman Public Schools.