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2024 BYFA Football Registration
*
Registration Type:
Football Player
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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2030
*
Email:
*
Age as of Aug 1, 2024:
*
Gender:
M
F
*
Grade as of Aug 1, 2024:
K
1
2
3
4
5
6
7
*
Height (Estimated):
*
Weight (Estimated):
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
*
EMail:
*
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
First Name:
Last Name:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
*
Parent, Guardian or Adult E-mail:
WAIVER INFORMATION:
I the parent/guardian of the above named child, fully understanding that football is a contact sport where serious injuries may result, hereby give my consent for said child to participate in any and all Lonestar Junior Football activities during this current season. I do hereby waive, release, absolve, Indemnify, and agree to hold harmless any member of any team, association, league, or organization that is affiliated with this youth program for any claim resulting from injury to any child.
I, hereby, authorize any local hospital, doctor, or other licensed medical practitioner, as well as Emergency Medical Treatment personnel, to take what they feel are the correct procedures as an aid to my child’s health and well being, in my absence.
I/we agree with the above waiver.
*
* indicates required fields
SELECT FEE
$125.00 - Football Player
online payment fee($5)