You are on page 1of 1

MATTERS OF SPORTS

ATHLETIC LEAGUE

ATHLETE REGISTRATION FORM


Athlete Information
Full Name: Age:
Last First M.I.

Address:
Street Address Apartment/Unit #

City State ZIP Code

Phone: Email

Attending School: ______________________________________________________ Grade: ___________________

Circle T-Shirt size: Small Medium Large X-Large Circle Gender: Male Female

Medical Information

Please list any medical conditions that would limit high level of activity.

Emergency Contacts
Full Name: Relationship:
Address: Phone:

Full Name: Relationship:


Address: Phone:

Consent (Under years of age)


I have completed this application for my child and I give my child permission to participate in the MOS Athletic
League sports activities.

Parent/Guardian: Date: