Register

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This form must be completed and payment made in order to register. Online registration is preferred and you may make your payment online after submitting the following form.

Please Register Online

Please register online using the form below. Fields marked with a red * asterisk are required. You will be redirected to a page where you can make an online payment after submitting the form. Thanks!

Don't Want to Register Online? Download PDF Registration Instead Here

Player Information

* Player Name

* Player Phone

* Player Weight

* Player Date of Birth

* Player Age

* Player Grade in Fall

* Has Played Contact Football Before?

If you answered yes above, please answer these questions:

When they played before
The team(s) they have played with
The postion(s) they have played

Previous Play Information

Parent / Guardian Information

* Parent or Guardian Name

* Address

* City, State & Zip Code

Secondary Contact

In the event that your PLAYER needs medical attention and we are unable to reach you, please provide a secondary contact person that we can try to contact as well.

* Secondary Contact Name

* Secondary Contact Phone Number

By answering YES to the Parent Permission field below, I am affirming the following:

PLAYER has my permission to play youth football.
PLAYER is medically fit to play contact football and has had a recent physical examination to confirm this.
We understand that we are responsible to return all equipment loaned by the team promptly, washed, and in good repair at the end of the season.
We understand that the league requires that each player have a physical examination prior to participation.
In the event that PLAYER requires medical attention while under the supervision of the youth football program, and if neither I nor MY SECONDARY CONTACT can be consulted at the time, I hereby authorize the appropriate medical personnel to provide such medical treatment as deemed necessary by said medical personnel.
As a parent/guardian of a player in a volunteer youth sport, we understand that we are obligated to volunteer our time. It is required to work the concessions stand, work the chains or run the clock at home games. Also help out at practice when asked, be a team mom, or other such things. Everyone's time is valuable and Future Riders will respect that.