Football

Register your child with the PayGOV.US Order Number

PayGOV.US Order Number

Child's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date Of Birth

Age

Grade (September)

Phone

Played Last Year for (Coach’s Name)

Played Last Year for (League/Team Name)

Played Last Year

Does your child have any health or medical problems we should know about? Please explain.

Parent's Names

Patents Names: (This signifies a parent’s signature and the consent for your child to participate)

I Can Help With

Coaching
Booster Club
Team Parent

Additional Comments

Baseball

Register your child with the PayGOV.US Order Number

PayGOV.US Order Number

Child's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date Of Birth

Age

Grade (September)

Phone

Played Last Year for (Coach’s Name)

Played Last Year for (League/Team Name)

Eligible This Year For

Does your child have any health or medical problems we should know about? Please explain.

Shirt Size

Parent's Names

Patents Names: (This signifies a parent’s signature and the consent for your child to participate)

I Can Help With

Coaching
Booster Club
Team Parent

Additional Comments

Basketball

Register your child with the PayGOV.US Order Number

PayGOV.US Order Number

Child's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date Of Birth

Age

Grade (September)

Phone

Played Last Year for (Coach’s Name)

Played Last Year for (League/Team Name)

Which Level?

Does your child have any health or medical problems we should know about? Please explain.

Shirt Size

Parent's Names

Patents Names: (This signifies a parent’s signature and the consent for your child to participate)

I Can Help With

Coaching
Booster Club
Team Parent

Additional Comments

Football

Baseball

Basketball

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