First Baptist Church - New Port Richey, Florida
Thursday, September 09, 2010
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10/11
UPWARD FLAG FOOTBALL and
CHEERLEADING
REGISTRATION FORM
Parents will be asked to sign an Authorization And Release of Liability form before a child can participate in the Flag Football with Cheerleading Program.
Click here to preview the form.
PARTICIPANT CONTACT INFO:
Choose One Flag Football
Cheerleading
Last Name
First Name
MI
Gender:
Select
Male
Female
Age/Grade
Select
Age 4
Age 5
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Address
Date Of Birth (mo/da/yr)
City
State
Zip
Home Phone
Cell Phone
Parents Email
Church
(if you regularly attend church which one?)
Player Information Notes (If any)
How many years has your child played organized football?
If applicable, check ONE night your child CANNOT practice
MON
THU
FRI
SAT
Carpool Link (Only same age/grade and gender)
(Other player must also list your child as their carpool link)
Click this
button to set all form fields to their original value
Click this
button to send the form contents to First Baptist Church
After you Submit the form, click the
button if you would like to pay on-line
Please call Linda Howard at 727-849-4210 x318 if you have questions concerning this form