How many years of football experience do you have? *
Have you played bantam football before? *
Players email address? *
Your answer
Players cell phone number? *
Your answer
Parent/guardians first and last name? 1 of 2 *
Your answer
Parent/guardians cell phone number? 1 of 2 *
Your answer
Parent/guardians email address? 1of 2 *
Your answer
Parent/guardians first and last name? 2 of 2
Your answer
Parent/guardians cell phone number? 2 of 2
Your answer
Parent/guardians email address? 2 of 2
Your answer
Emergency Contact Information: Name of emergency contact
Your answer
Emergency Contact Information: Phone Number of Emergency Contact?
Your answer
T'Shirt size
Clear selection
Short Size *
What school are you currently attending? *
What position group would you like to participate with? *
What is your current height (feet and inches)? *
Your answer
What is your current weight? *
Your answer
Please list the players Alberta Healthcare number. *
Your answer
Medical Information (Check all that apply) *
Required
If you indicated YES to any of the above, please provide further information (Details/Severity and Medication required), what are the known triggers and if student can self-administer)
Your answer
Medical Information is correct. *
Medication
Your answer
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