2024 Spiders Spring Registration

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Welcome to the 2024 Spring Season. Registration for Spring Football is $50.00 for returning players and $65.00 for new players it can be paid via card on this application, cashapp($richcityspiders) or in person with cash or card by march 1st. Your fees cover the following: league fees and insurance, rental uniform, mouthpiece and rental of shoulder pads (if needed) . All registrations fees are non-refundable. If you have any questions or concerns, please contact us at 804-244-0326.

When paying for your child via cashapp please make sure to put your childs name in the note or comments field. Please only register your player once. You will receive a confirmation email that you have registered

Email *

Parent's Name *

Contact Phone (Best Number To Reach You At) *

Your Mailing Address (Please Include City, State and Zip Code)

Your Childs First Name *

Your Childs Last Name *

Your Childs DOB *

YYYY

How old will your child be as of 7/31/24 *

Required

Where does your child attend school at? *

Does your child have medical insurance? *

Yes

Has the player ever been diagnosed with a concussion or head injury? *

Yes

If your child has had a head injury or concussion please provide the details.
*

Physical conditions of which the staff should be aware:
*

Please list any allergies, medications, or any physical conditions that might affect the player’s participation:
*

I understand that omitting important medical information such as prior injuries, prior concussion or failing to make known or aware of a history of concussions is omitting information and I accept full responsibility for falsifying this document. I understand any history of concussions must be made disclosed prior to participation.
*

I agree

I disagree

A copy of your responses will be emailed to the address you provided.

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