Hamilton Youth Athletic Association

Home of the Hamilton Little Blue Bulldogs

Challenger Registration Form

Last Name     First Name

Address

Phone Number     Emergency Phone

E-mail Address

Birthday

Disability

Parent's Names

Mother 

Father  

Guardian (If other than mother or father) 

Phone Number   

I understand that there is a $35.00 registration fee for my child to participate in challenger football.

By checking this box, I agree to the above statement. Not checking this box could allow your child to miss the         registration deadline.

Parent's (Completing this form) Name     

Date