Jr. Indians Football Registration 
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Email *
Registering for  *
Player First Name  *
Player Last Name  *
Player's Address  *
Player's Date of Birth *
MM
/
DD
/
YYYY
What school does your child attend? (These teams are only for students attending schools in the Holt feeder pattern.)
 *
Player's grade level for 2024-2025 School year.
 *
Player's Jersey Number. 
Please provide 3 options; starting with most desired.  *
Player's T-Shirt Size  *
Required
Player's Pant Size  *
Required
Does player have any health issues coaches should be made aware of? If yes, Please note here. If no, enter N/A.
*
Parent #1 First Name  *
Parent/Guardian #1 Last Name  *
Parent/Guardian #1 Email  *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 First Name 
Parent/Guardian #2 Last Name
Parent/Guardian #2 Email 
Parent/Guardian #2 Phone Number 
Please check all areas you might be interested in helping in.
A copy of your responses will be emailed to the address you provided.
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