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Lions Youth Sports Association
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2024 Football Registration
PLAYER'S INFORMATION
*
First Name:
*
Last Name:
*
Address:
*
Zip Code:
:
Male
Female
*
Date of Birth:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
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25
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31
1950
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1961
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1966
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
*
Age:
*
School:
*
Grade (2024-2025 School Year):
Pre-K
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
List other siblings participating in football or cheer with LYSA this season::
*
Returner:
Yes, I have played with LYSA previously.
No, I am new to LYSA.
PARENT/GUARDIAN INFORMATION
*
Parent/Guardian Name:
*
Relationship to Player:
*
Cell #:
*
Email:
Address (If different from Player):
Parent/Guardian Name:
Relationship to Player:
Cell #:
Email:
Address (If different from Player):
We are always in need of volunteers to help us!
Are you interested in:
Joining Our Board
Coaching
Team Mom
Concessions
Scorekeeping/Scoreboard/Clock
Admissions/Gate
Special Events
Other (We are grateful for Time & Talent)
Waivers:
I/We do hereby release LYSA and it's Board of Directors of any and all liability for any accident incurred while participating or traveling to and from any LYSA activities.
*
I/We understand that all LYSA League fundraisers are mandatory.
*
I/We understand that all outstanding balances must be paid in full prior to a player receiving their uniform.
*
I/We understand all fees are non-refundable.
*
I/We consent and hereby grant LYSA the right to take photographs of LYSA players in connection with their role as a participant. I/We understand that photographs and/or digital reproductions may be utilized for all publication processes, whether ele
*
I/We have read these statements and hereby understand and agree to all the requirements of this agreement.
*
Name:
UNIFORM INFORMATION
*
Game Pants:
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
*
Jersey Size:
Youth X-Small
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
*
Jersey # 1st Choice:
*
Jersey # 2nd Choice:
*
Jersey # 3rd Choice:
Special Requests - Please list coach preferences, if you want siblings/friends on same team, if you want your child to play up, or any other information we need.:
*
Please submit your form through the website, we will text you an invoice to complete your registration. Select Pay in Full or Set up a Payment Plan::
Pay in Full
Payment Plan: Bi-Weekly
Payment Plan: Weekly
Team Assignment:
* indicates required fields