Fredericksburg Colts Youth Football Club
2008 FOOTBALL REGISTRATION FORM
____ Junior Pee Wee Division
Ages 9-10 Maximum Weight – 119 pounds
Age 11 Maximum Weight – 99 pounds
Ages as of July 31st 2008 – Weight limits with game pants and cleats.
____ $140.00 Registration Fee – Check OR ____ $140.00 Registration Fee – Cash
(Fee includes equipment rental, game uniforms, insurance, field, referee & league expenses)
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2008 CHEERLEADING REGISTRATION FORM
____ Junior Pee Wee Division
All ages welcome!
____ $50.00 Registration Fee – Check OR ____ $50.00 Registration Fee – Cash
(Fee includes game uniforms, insurance, field, referee & league expenses)
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PARENT INFORMATION
Last Name: ___________________________ First Name: ____________________________
Street Address: _______________________________________________________________
County: _______________________________ Zip Code: ____________________________
Telephone Number: ______________ Email Address: ______________________________
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PARTICIPANT INFORMATION
Last Name: ___________________________ First Name: ___________________________
Birthday: ___ /___ /___ Age: ____ Sex: ____ Height: ____ Weight: ____
Health Insurance Co: ______________________ Policy #: ___________________________
Medical Problems (allergies, heart, sight, hearing, respiratory etc.)
As parents/guardians of the child registered hereon, we give permission for the child listed above to participate in said activity; I/we do assume all risks of said participant, including transportation to and from activities, waive absolve and agree to hold blameless the Fredericksburg Colts Youth Football Club and AYF, including organizers, directors, field supervisors, participants, and persons transporting said child to or from activities, for any claim arising out of injury to said child, I/we attest to the above information as being accurate to the best of our knowledge and belief. Furthermore, it is understood that the participant must provide a copy of 2007 end-year report card, copy of birth certificate, provide DMV or Military ID and a complete AYF medical form prior to 8/1/07.
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Signature of Parent or Legal Guardian Date
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