Streetsboro Jr Rockets Football and Cheer
Home
Player Registration
Forms
Contact Us
My Account
Account Details
Checkout
View Cart
View Cart
lautan138
Daftar gacor maxwin
cara gacor 2023
Game online server thailand
Agen situs game online
Slot Gacor 2023
Slots thailand
Agen situ game online
superwin500
superwin500
superwin500
superwin500
sorbet666
sorbet666
sorbet666
Registration Form
Name
Contact Information
Order Number
Child's First Name
*
Child's Last Name
*
Child Lives With
*
Mother
Father
Both
Primary Contact
*
Mother
Father
Father's Name
Mother's Name
Child's Address
*
Primary Phone
*
Secondary Phone
Primary Email Address
*
Secondary Email Address
Emergency Contact Person
*
Relationship
*
Emergency Contact Person's Primary Phone
*
Emergency Contact Person's Secondary Phone
Volunteering Options
Concessions Stand
Team Mom
Coach
(check which ones you are interested in):
Physician's Name
Physician's Phone Number
Hospital of Choice
Hospital's Phone Number
Hospital Address
Insurance Company Name
Policy #
Group #
ID #
Carried By
Does your child have any allergies?
*
Yes
No
Does your child have any medical conditions or medications we should be aware of?
*
Yes
No
Is there any information you would like the coaching staff to be aware of?
If all attempts to reach the emergency contact persons are not successful, I would like the following procedure to take place:
Consent
No
Yes
School Grade in August
*
K
1st
2nd
3rd
4th
5th
6th
School Attending in August
*
Birthdate
*
Age Before May 1st
*
Select a Sport
*
Tackle Football
Cheerleading
Flag Football
Shirt Size
*
Parental Consent for Participation
No
Yes
Recent Posts
the 2020 Football and Cheer Season has Been Cancelled
Shout Outs and Yearbook Pictures
Equipment Returns
Year End Celebration
Picture Day Details
Categories
Jr Rockets Football Schedules
News 2017
News 2018
News 2019
News 2020
Uncategorized
Archives
July 2020
September 2019
August 2019
May 2019
October 2018
August 2018
July 2018
June 2018
May 2018
September 2017
August 2017
May 2017
Streetsboro Jr Rockets Football and Cheer
Streetsboro Jr Rockets Football and Cheer