Hamilton Youth Athletic Association

Home of the Hamilton Little Blue Bulldogs

Football Registration Form

Last Name     First Name

Address

Phone Number     Emergency Phone

Birthday    Grade K 1 2 3 4 5 6 7 8 9 10 11 12

E-mail Address

School  

Parent's Names

Mother 

Father  

Guardian (If other than mother or father) 

Phone Number   

I understand that there is a $110.00 registration fee for my child to participate in football.  This fee must be paid by August 9, 2010 or there will be a $20.00 late fee.

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