info@fcyfl.net

COST

Early Registration

$100

May 1st thru July 9th
$80 per player + $20 Equipment Rental = $100

Late Registration

$120

July 10th thru August 10th
$100 + $20 Equipment Rental =$120

Birth Certificates for all new players is a must

    Player Details

    Player First Name:
    Player Last Name:
    Player Date of Birth:
    Player Gender:

    Full Street Address:

    Home/Primary Phone Number:
    Grade, Fall 2017:
    School Name, Fall 2017:

    Medical History: Allergies, Medications, Special Conditions, etc.

    Returning Player or New?
    Shirt Size:
    Weight:


    Parent/Guardian 1 (required)

    Full Name:


    Email Address:


    Cell/Primary Phone:


    Work Phone:


    Relationship to Player:

    Parent/Guardian 2 (optional)

    Full Name:


    Email Address:


    Cell/Primary Phone:


    Work Phone:


    Relationship to Player:


    The total for 1 player registration : $100

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