Northside Lions Athlete Registration
FEES:
Varsity Football $700 ($300 deposit due upon registration) includes METROFLEX access,
spring football, 7v7, 1 shirt, 1 shorts, season dues, game and practice uniforms (helmet and pad rentals
available with $65 non-refundable deposit)

Junior High Football: $540 ($150 deposit due upon registration) includes season dues, 1 shirt, 1 shorts, game uniform (helmet and pad rental with $65 non-refundable deposit)

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Select one *
Athlete Name (LAST NAME, FIRST NAME) *
Athlete Date of Birth *
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DD
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YYYY
Athlete email *
Athlete cell phone (strictly for coach interaction)
Name of Primary Parent/Guardian (list both if shared) *
Primary Parent/Guardian Address (STREET ADDRESS, CITY, STATE, ZIP CODE) *
Primary Parent/Guardian email *
Primary Parent/Guardian Phone Number *
Secondary Parent/Guardian Address (if applicable) (STREET ADDRESS, CITY, STATE, ZIP CODE)
Secondary Parent/Guardian email (if applicable)
Secondary Parent/Guardian Phone Number (if applicable)
Emergency Contact Name, Relationship and Phone Number (other than parent) *
Pre-existing medical conditions and medications, and emergency treament exclusions (type "none" if not applicable) *
Hospital Choice
Insurance company and policy number for athlete coverage *
I have read and agree to the language laid out in the Northside Lions Participation Indemnification form found at this link:  (Type YES in the field below) https://drive.google.com/file/d/1QqBvT9N_cevKXCUUf1ov4uGmU0o2mWg-/view?usp=sharing                                                    *
I have read and agree to the language laid out in the Northside Lions Student Photo Release form found at this link:  (Type YES in the field below)  https://drive.google.com/file/d/1qs9VVZAT8Y_tNvoLn3yfL0I-FMZJ7pPm/view?usp=sharing                              *
PAY REGISTRATION DEPOSIT/FEE (Clicking SUBMIT below will redirect you to PayPal. Athletes are not registered until a deposit is received or financing arrangements have been made.)
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