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Wylie Competitive Youth Football Association
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2015 Football Mini Camp Registration
WYLIE COMPETITIVE YOUTH FOOTBALL ASSOCIATION (WCYFA) - FOOTBALL MINI CAMP REGISTRATION
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
*
City:
State:
Zip Code:
*
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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1980
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2010
*
Grade:
K
1
2
3
4
5
6
7
School:
*
Height : Weight::
*
Experience:
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
EMail:
*
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
Insurance Carrier:
Waiver Information
I understand and recognize the risk of physical injury I inherent in football and I am willing to assume those risks. I agree that I will not hold Wylie Competitive Youth Football Association, AYFA, the organizers or any of its coaches liable for injuries sustained while in attendance and/or participating in any activity.
*
Please type your full name to agree: I have read and understand and agree without exception to the terms and conditions stated above:
* indicates required fields