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12th Man FCC Athlete Registration
Please fill out the questionnaire bellow to participate as an athlete.
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* Indicates required question
Email
*
Your email
Athlete Last Name
*
Your answer
Athlete First Name
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Camp Activity
*
Football
Cheerleading
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Other
What is the athlete's condition? Please be specific.
*
Your answer
Parent/Guardian Name
*
Your answer
Address (Please include zip code)
*
Your answer
Phone (Cell)
*
Your answer
Phone (Home)
Your answer
I have read this release of liability and assumption of risk agreement, I fully understand its terms, I understand that I have given up legal rights by selecting accept and I accept it freely and voluntarily without any inducement.
*
Accept
Required
First and Last Name of Parent or Guardian ( For Minor Age Athlete)
Your answer
For Minor Age Athlete Parent or Guardian Please read and accept below.
Accept
Submit
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