For full functionality of this site it is necessary to enable JavaScript.
OUR SERVICES
FREE
Web Sites
FREE
Online Registration
Payment Processing
LeagueLineup Pro & Elite
Domain Names
Background Checks
LOCAL SPORTS
Find a Web Site
Tournaments
Team Tryouts
Sports Photographers
ELITE
LeagueLineup Elite
Create your own site
Close Panel
2010 and 2011 FOOTBALL, 2014 CHEER NATIONAL CHAMPIONS
2022 Bridgeport Chargers Youth Football and Cheer
Login
MyLeagueLineup
Administration
Login
MyLeagueLineup
Administration
°F
Welcome
About
CHARGER'S WAR ROOM
Contact Info
Schedules
Calendar
Forms
Handouts
More
Guestbook
Arcade
Pages
Admin Sports Signup
Login
MyLeagueLineup
Administration
Subscribe to our Newsletter
2022 FALL FOOTBALL REGISTRATION FORM
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Best Contact Number:
*
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
2008
2009
2010
2011
2012
2013
2014
2015
2016
*
Gender:
M
F
*
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
*
Player Jersey Size:
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Adult 3X
Adult 4X
Adult 5X
*
Player Pants Size:
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Adult 3X
Adult 4X
Adult 5X
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 #:
I/we agree with the above
*
* indicates required fields
SELECT FEE
$209.00 - Football Registration