South East Valley Youth Football and Cheer Registration

WWW.AYFREGISTRATION.COM

Begin Player Registration

* indicates required field

Registration Type Flag/Cheer Might Mite Tackle Tackle All Divisions Except Mighty Mite

Player Name*:
Address
Street1*:
Street2:
City*:
State Abbreviation*: (AZ)
Zip*:
Phone*: Area Phone
Email Address*: (can be parent's email if player email not avaialable)
Birth Date*: (MM/DD/YYYY)
Gender:
Player Weight*:
School Name:
Grade Level:

Guardian Information Guardian 1
Relationship:
Name*:
Address same as player?
Address
Street1*:
Street2:
City*:
State Abbreviation*: (AZ)
Zip*:
Home Phone*: Area Phone
Work Phone: Area Phone
Mobile Phone: Area Phone
Occupation:
Email*:

Guardian 2 (This information is recommended but not required)
Relationship:
Name:
Address same as player?
Address
Street1:
Street2:
City:
State Abbreviation: (AZ)
Zip:
Phone: Area Phone
Work Phone: Area Phone
Mobile Phone: Area Phone
Occupation:
Email*: (make same as guarding 1 if needed)

Medical Info
(Enter N/A if needed) Doctor Name*:
Doctor Phone*: Area Phone
Insurance Carrier:
Emergency Contact Name*:
Emergency Contact Relationships
Emergency Phone*: Area Phone
Medical Comments:

(255 characters max)