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2026 Spring Ragball Registration (3 & 4 year olds)
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2020
2021
2022
2023
2024
2025
Age as of May 1, 2025:
3
4
5
*
Gender:
M
F
*
Jersey # ( 3#'s please):
*
Jersey Size:
YXXS
YXS
YS
YM
YL
YXL
AS
AM
AL
AXL
A2X
A3X
Street:
City:
State:
Zip Code:
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:
*
Medical Conditions:
WAIVER INFORMATION
By my/our submission of the registration form, I/we (the parent(s)/guardian of the player named above) hereby give my/our approval for him/her to participate in any and all Warrior Youth Association activities. I/We also waive, release, absolve, indemnify, and hold harmless Warrior Youth Association Board, their officers, directors, sponsors, drivers, employees, coaches, and volunteers for any claim arising out of an injury to the player named above. I/we acknowledge that in all sports there are certain risks of physical injuries, and all players participate at their own risk.
Further, I/we, the parent(s) and the player(s) named above agree to abide by all rules, regulations, and guidelines established by Warrior Youth Association.
A $25 fee will be assessed for any/all checks returned for insufficient funds.
I give permission for Warrior Youth Association to photograph, video tape and/or film child while participating in any Warrior Youth Association Sports event to be used by Warrior Youth Association, for educational and promotional purposes.
I/we agree with the above
*
*
Select Fee:
$65.00 First Player
$55.00 Second Player
* indicates required fields
SELECT FEE
$65.00 - First Player
$55.00 - Second Player