Grid Kid Football Registration Player Name (required) Date of Birth (required) Grade (required) 4 5 6 Gaurdian 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)Yes Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Date (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank 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.
