2014 REGISTRATION
CLICK HERE
2014 PARTICIPANT CONTRACT
& PARENTAL CONSENT FORM
PAGE 1
COMPLETELY FILL IN ALL BLANK SPACES
SCHOOL AND GRADE LEVEL IS FOR THE 2013-2014 SCHOOL YEAR
MOTHER’S BIRTH DATE (MONTH & DAY)
2014 PARENT/GUARDIAN
PERMISSION AND WAIVER
PAGE 2
FILL IN PARTICIPANT’S NAME
PARENT AND PARTICIPANT MUST SIGN
2014 PHYSICAL FITNESS
& MEDICAL HISTORY FORM
PAGE 3 – 4
PARENT MUST FILL IN ALL PERTINENT SPACES ON SECTION I, PAGE 3
PHYSICIAN MUST SIGN AND FILL OUT SECTION II, PAGE 4
PLEASE NOTE:
NO OTHER FORMS WILL BE ACCEPTED. FORMS MUST BE DATED ON OR AFTER JANUARY 1, 2014.
REGISTRATION FEE IS NON-REFUNDABLE
CHECKS MADE PAYABLE TO – BILLERICA POP WARNER
THERE WILL BE A $26.00 SERVICE FEE FOR ANY RETURNED CHECKS
REGISTRATION FEE:
4/1/2014 – 7/31/2014
1ST CHILD – $110.00
2ND CHILD – $85.00
3RD CHILD - $75.00
8/1/2014 – 8/31/2014
1ST CHILD – $120.00
2ND CHILD – $95.00
3RD CHILD - $85.00
AGE REQUIREMENTS
ON OR BEFORE JULY 31, 2014
5 – 15 YEARS OLD
11 – 14 YEARS OLD = PATRIOTS/A TEAM
(UNLIMITED WEIGHT DIVISION)
ORIGINAL BIRTH CERTIFICATES
AN ORIGINAL BIRTH CERTIFICATE WITH A RAISED SEAL IS REQUIRED AT REGISTRATION. NO HOSPITAL BIRTH CERTIFICATES WILL BE ACCEPTED. IF YOU ARE A RETURNING PLAYER/CHEERLEADER, YOUR BIRTH CERTIFICATE SHOULD BE ON FILE.
REPORT CARDS
WE MUST HAVE A COPY OF YOUR CHILD’S FINAL REPORT CARD FROM THE 2013-2014 SCHOOL YEAR.
PLEASE NOTE:SINCE REPORT CARDS ARE NOT ISSUED UNTIL JUNE, THIS IS THE ONLY ITEM ALLOWED TO BE MISSING FROM YOUR PACKET WHEN YOU RETURN IT TO US. YOU CAN EITHER MAIL A COPY TO P.O. BOX 106, BILLERICA, MA 01821, OR BRING IT WITH YOU AT EQUIPMENT PICK-UP
IMPORTANT INFORMATION
NO CHILD WILL BE PLACED ON A TEAM, RECEIVE EQUIPMENT, OR BE ALLOWED TO PARTICIPATE WITHOUT FIRST HAVING ALL THE REQUIRED PAPERWORK TURNED IN BY JUNE 28, 2014.
MEDICAL FORMS & REPORT CARDS (NOT REGISTRATIONS) CAN BE MAILED PRIOR TO THE 06/28/2014 DEADLINE TO:
BILLERICA POP WARNER
P.O. BOX 106, BILLERICA, MA 01821
