Grid Kid Football RegistrationPlayer Name (required)Date of Birth (required)Grade (required)456Gaurdian Name (required)Relationship to player (required)Address (required)Email (required)Phone number (required)Insurance Company and Policy # (required)Responsible Party (required)Emergency contacts ( Please provide 2 ) (required)Medical Conditions (required)I understand that this is a community youth organization and my childs photo may be published as a participant in the activities he/she has registered for (required)YesYour Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesYour Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesDate (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
Football FeeEach child must be registered. Indicate on this form if you are registering multiple children by checking the appropriate box.
