Elem. Co-Ed Flag Football -21st CPA Athletics Registration
Please fill out the form below to complete your 21st CPA Athletes sports registration.

       Note: Athletes can not participate in any 21st CPA Athletic practices until the Sports Registration has been completed.

All athletes must submit all required sports forms below by the first day of practice.

Registration Deadline: October 6, 2023

Teams:
  • 1/2nd Grade =  Rookies
  • 3/4th Grade =  Juniors
 Physical Form:  (Must be current and signed by a physician)
 $100 Payment per sport:    (Cash, check, money order) - Payable to 21st CPA     

*** Mandatory Athlete/Parent Meeting August 1 @ 5:30p at 21st CPA ***
  
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Email *
Athlete First Name *
Athlete Last Name *
Child's Birth Date including year: (mm/dd/yyyy) *
Does your child have asthma? *
Does your child have any severe allergies to food or medications? *
Leave the space "Blank" if this question does not relate to your child.
Does your child have any other important medication conditions we should know about? *
Leave the space "Blank" if this question does not relate to your child.
Athletes Grade *
Registering For Athletes
 Sport(s) *
Click the sport you are registering for this upcoming season. To register for another sport please go back to 21st CPA Athletic Registration Page.
Required
Child's Jersey Top Size  *
Parent Name (s) *
Parent Email Address *
Parent Contact Number *
21st Century Sports Release Waiver
21st Century Sports Release Waiver
You acknowledge that you have carefully read the above "21st Century Sports Release Waiver" and that you agree to its terms. *
21st Century Student Academic/Social Standards
21st Century Student Academic/Social Standards
The Parent and student-athlete acknowledges and have carefully read the above "21st Century Student Academic/Social Standards" and agree to its terms. *
APIAL WAIVER OF LIABILITY  (Copy + Paste in browser to view the link below)
Click below to view Waiver/Covid-19 Disclaimer/Code of Conduct/NMAA Concussion Fact Sheet form click the link below:
https://docs.google.com/document/d/1keNw-Wvwf_uX867DUq6_wqH1SKuXcjHcTL4_SJCMfrU/pub

Do Parent and student-athlete agree to the terms of the APIAL waiver of Liability *
Do you agree to the terms of the "APIAL COVID-19 Disclaimer"? *
Do Parent and student-athlete agree to the terms of the "APIAL Code of Conduct" ? *
Do Parent and student-athlete agree to the "NMAA Fact Sheet for Athletes & Parents" ? *
Parents: Type in your Full Name below *
It is understood that you read and have agreed to all terms within the waiver of liability document, Code of Conduct and NMAA concussion Fact Sheet by typing your full name in the space below.
Parent Volunteering
Parents will be required to volunteer at their Athlete(s) sporting events. In some cases, volunteering may include (working the score book, managing the scoreboard, gate, concession, timer, field measure etc.). All volunteers are gratefully appreciated for helping out our amazing teams throughout the season.    
**If the team can not provide volunteers for the current event there will be a possible forfeit for that event. **
Parents are required to Volunteer for their student-athlete event for this upcoming season? *
Required
Are you able/willing/wishing to coach or assist in coaching a 21st CPA team(s) during the Season? *
A copy of your responses will be emailed to the address you provided.
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