ATHLETE REGISTRATION

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THE OFFICIAL HOME OF

G-P YOUTH FOOTBALL & CHEER

Gregory-Portland Youth Football and Cheerleading ATHLETE REGISTRATION

*THIS REGISTRATION IS FOR G-P RESIDENTS ONLY AGES 5-12* PAYMENT IS DUE IN FULL

ONLY 50% WILL BE RETURNED IF THE ATHLETE QUITS BEFORE INSURANCE AND FEES PAID

NO MONIES RETURNED ONCE THE INSURANCE AND FEES ARE PAID BY THE LEAGUE

SPORT

GENDER

AGE AS OF AUG 1ST, 2024

Birthday

SCHOOL

GRADE

LEGAL NAME OF ATHLETE (MUST MATCH BIRTH CERTIFICATE) Last Name

First Name

Middle Name

Address

City

State

Zip code

Email

Cell Phone

Home Phone

* Other Siblings in League?

Yes

No

If Yes, Enter Name(s) and Sport: F = Flag | T = Tackle | C = Cheerleader

Parent / Guardian 1 - First and Last Name

Lives with

Yes

No

Cell Phone

Relationship to Athlete

Address (if different)

City

State

Zip code

Parent / Guardian 2 - First and Last Name

Lives with

Yes

No

Address (if different)

City

State

Zip code

EMERGENCY CONTACT First and Last Name

Address

City

State

Zip code

Cell Phone

Relationship to Athlete

Cell Phone

Relationship to Athlete

Select an item ($) *

FOOTBALL REGISTRATION - $125.00

CHEER REGISTRATION - $50.00

PAY IT FORWARD SCHOLARSHIP - $20.00

PAY IT FORWARD SCHOLARSHIP - $50.00

PAY IT FORWARD SCHOLARSHIP - $75.00

PAY IT FORWARD SCHOLARSHIP - $50.00

PAY IT FORWARD SCHOLARSHIP - $125.00

DATE OF REGISTRATION

BIRTH CERTIFICATE

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I accept terms & conditions

YOUR REGISTRATION IS COMPLETE

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