Wylie Competitive Youth Football Association

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2015 Football Mini Camp Registration

WYLIE COMPETITIVE YOUTH FOOTBALL ASSOCIATION (WCYFA) - FOOTBALL MINI CAMP REGISTRATION

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

* City:

State:

Zip Code:

* Home Phone:

* Birthdate:

* Grade:

School:

* Height : Weight::

* Experience:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

EMail:

* Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Waiver Information

I understand and recognize the risk of physical injury I inherent in football and I am willing to assume those risks. I agree that I will not hold Wylie Competitive Youth Football Association, AYFA, the organizers or any of its coaches liable for injuries sustained while in attendance and/or participating in any activity.

* Please type your full name to agree: I have read and understand and agree without exception to the terms and conditions stated above:

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2015 Football Mini Camp Registration