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Complete Registration Form
2023 Broken Arrow Youth/Junior High Off-Season Club (201)
Player First Name
Player Middle Name
Player Last Name
Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
Age
School
Current Grade Level
4th Grade
5th Grade
6th Grade
7th Grade
Has Your Athlete Played Football Before?
Yes
No
CLUB T-Shirt Size
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
CLUB Shorts Size
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1 First Name
Parent/Guardian 1 Last Name
Parent/Guardian 1 Cell Phone
Parent/Guardian 1 Email
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Parent/Guardian 2 Cell Phone
Parent/Guardian 2 Email
OFFICE USE
Waivers
Medical Waiver
I, the undersigned, as a parent and/or guardian, ask the he/she be admitted to participate in this sport club. in consideration of such admission, I do hereby agree to release, discharge, and hold harmless Broken Arrow Public Schools, its officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the sport club or in the course of competition and/ or activities held in connection with the sport club.
I agree
Please enter your initials to approve this waiver
Refund Policy
***NO REFUNDS***
I agree
Please enter your initials to approve this waiver
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