North Arlington Trojans Youth Athletics (Arlington,TX)

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2014 North Arlington Trojans Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

* Cell Phone:

* Home Phone:

* Birthdate:

Age(As of Aug, 1, 2014):

Email:

Gender:

* Grade(As of Aug 1, 2014):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I/We also assume responsibility for the uniform and equipment issued and I/We agree to return it at the appointed time. Failure to do so will result in a fee of $300.00 plus any cost and fees incurred by the North Arlington Trojans, to be collected from me.
***All equipment/uniforms must be returned in the same condition in which they were received.
***Equipment/uniforms must be returned the same day/date of separation from the NATYA, regardless to the reason of departure.
***The cheerleaders are exempt from the above Uniform Waiver.

*********Absolutely NO refunds will be given**************

I/we agree with the above *

* Football/Cheerleading Division:

* Signature:

* Date:

* indicates required fields

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2014 North Arlington Trojans Registration Form