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  • Registration Office Form

    Uploaded by

    Shane Klinger
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    The document is a registration form for the Rock River Raptors junior tackle football team for the 2009 season. It collects personal information about players such as name, date of birth, grade, previous experience, medical details, contact information for parents, and payment details. The form registers players and collects fees, with discounts for additional siblings.

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    The document is a registration form for the Rock River Raptors junior tackle football team for the 2009 season. It collects personal information about players such as name, date of birth, grade, previous experience, medical details, contact information for parents, and payment details. The form registers players and collects fees, with discounts for additional siblings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views2 pages

    Registration Office Form

    Uploaded by

    Shane Klinger
    The document is a registration form for the Rock River Raptors junior tackle football team for the 2009 season. It collects personal information about players such as name, date of birth, grade, previous experience, medical details, contact information for parents, and payment details. The form registers players and collects fees, with discounts for additional siblings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Rock River Raptors-Office Use Only

    ROCK RIVER RAPTORS


    JR. TACKLE FOOTBALL 2009

    (Please Print Clearly)

    Players Name: ________________________________________ D. O. B.: ____________________

    Age (as of august 1st, 2009): _______________ Entering Grade: ____________________

    Did you play last year? : ___________ If yes, for who? ____________________________

    Allergies / Meds:

    ______________________________________________________________________________________

    Parents Name(s):

    ______________________________________________________________________________________

    Address: __________________________________________

    City / State: ____________________________ Zip Code: ____________________________

    Home Phone: ____________________ Cell Phone: ____________________ Work Phone:


    ______________________

    E-Mail Address: ______________________________________________________

    Emergency Contact: ________________________________________________________ Phone:


    ____________________
    (other than parent)

    (Please circle appropriate fee)

    1st Player Fee ($180.00) _______________________

    2nd Player (sibling) ($165.00) _______________________

    Additional Siblings ($150.00) _______________________

    Total Amount Due: _______________________


    Receipt Number: _______________________

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