Montgomery Saints Youth Football/Cheerleading League
Registration Form 2008
Football ______ Cheerleader_______
Age on August 1, 2008 ________
_______Midget ages 5-7
_______Crickets ages 8-9
_______Termites ages 10-11
_______Peewee ages 12-13
Child’s Full Name____________________________________________________________
Street______________________________________________________________________
City______________________________ State_______ Zip__________________________
D.O.B.______________________________ Home phone ____________________________
School_______________________________________ Grade_________________________
Parent’s name: Mother________________________ Father___________________________
Cell_______________________________________ Cell_____________________________
In case of emergency contact: Name______________________________________________
Phone Number____________________ Relationship to child___________________________
Allergies___________________Physician___________________Phone#_________________
Insurance Company Name_________________________Policy #________________________
Parents Signature_________________________________giving Consent to Play and for Medical/Accident Release. I further understand that MSYFL is in no way Responsible for Accident or Injury occurred during practice, nor during Games.
ID Card on File__________ Total Pd_____________ Balance Owed____________
Send to: Johnny Toney 2521 Boykin Place Montgomery, AL 36117 contact number: 538-1940
Cheer Coordinator: Alva Wilson contact number: 538-5610