Blue Mountain Midget Football

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Pre- Registration for Train Like A Pro - Community Football and Cheer Clinic

Registrants Information

* Participant's First Name:

* Participant's Last Name:

* Particiapnt's birthdate:

* Gender:

* Address:

* City:

* State:

* Zip Code:

* Participants phone number:

* Participants email address:

Participant is a Blue Mountain School District resident and would like to be contacted about registering to play flag football, tackle football or cheering for Blue Mountain Midget Football.

Grade Information

If participant is under the age of 18 years old please provide contact information below.

Parent/Guardian Information

Mother's First Name:

Mother's Last name:

Mother's Address same as childs

Mother's Address:

Mother's City:

Mother's State:

Mother's zip code:

Mother's Home phone:

Mother's cell phone:

Mother's Work phone #:

Mother's email address:

Father's First name:

Father's Last name:

Father's Address same as child

Father's Address:

Father's City:

Father's State:

Father's Zip Code:

Father's cell phone:

Father's email address:

* indicates required fields

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Pre- Registration for Train Like A Pro - Community Football and Cheer Clinic