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2022/2023 Football Player Registration (JV and Varsity)

* Select Team:

* Player Name:

* Player School Grade 2022/2023 Year:

* Player Date of Birth:

* Main Contact Phone (home/cell):

* Parent/Guardian Name (s):

Email Address:

* Email Address:

* Current Height:

* Current Weight:

Please confirm all information is correct. Providing false information may result in forfeiture of games in which the player participated and player ineligibility in future games.

* Does the player need a new jersey?:

If Yes, select size (if no leave blank):

If Yes, provide requested jersey number and an alternative number:

If No, please provide their Current Jersey Number:

* Homecoming Toilet Paper (TP-ing) Authorization:

Physician and Allergy Information

* Physician Name:

* Physician Phone Number:

* Insurance Company:

Insurance Group Number:

Insurance Plan Number:

Insurance Company Phone:

* Name of Primary Insured:

List any allergies here the we should be aware:

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2022/2023 Football Player Registration (JV and Varsity)