Erie Football League

Boy's Youth Football Registration

Grades: 3rd-6th

Participants cannot be over the age of 12 (July 1st)

ALL KIDS WILL ENTER A DRAFT

Participant's First and Last Name

Parent's First and Last Name

Parent's Email

Parent's Phone

Birthday

Month

Day

Year

Participant's Birth Certificate

Address

Current School's Name and Grade

Jersey size (e.g., S, M, L, XL, XXL)

Specify Adult or Youth Size

3 Preferred Jersey Numbers

Numbers are issued on a first come first served basis

Pant Size (e.g., XS, S, M, L, XL, XXL)

Specify Adult or Youth Size (Tackle ONLY)

Helmet Size (e.g., XS, S, M, L, XL)

Tackle ONLY

Height

inches

Weight

Pounds

Desired Position(s)

Previous Position(s)

Detailed Playing History (Teams, Years Played, Achievements)

Primary Care Physician Full Name

Preferred Hospital Name

Medical History (Allergies, Medications, Past Injuries, Surgeries)

Pre-existing Medical Issues (if any)

Insurance Name and Policy Number

Social Media Handle(s)

I hereby authorize the Erie Football League to use and publish any photos or videos in the use of advertising and marketing and give my child permission to participate and fully understand the risks involved and will not hold the Erie Football League or it's volunteers responsible for any injuries and acknowledge that I have read and understand the above terms and conditions.

Parent's Signature

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Registration and Jersey Fee

$200

Registration Fee: $150

Jersey Fee: $50

Equipment Requirements: Sports Jersey Included In Fee Helmet **MUST BE RETURNED Provided for Use (Required) Pants **MUST BE RETURNED Provided for Use (Required) Shoulder Pads **MUST BE RETURNED Provided for Use (Required) Rubber Soled Cleats (no metal spikes) Provided by Parent (Required) Mouth Guard Provided by Parent (Required)