First Baptist Church - New Port Richey, Florida
Thursday, September 09, 2010
 
 
 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:    Age/Grade  
       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