Harlem Jets Registration Form
Parent or Guardian Full Name (1)
*
First Name
Last Name
Please upload the image of a state ID or passport for parent or guardian (1)
*
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Parent or Guardian Full Name (2)
First Name
Last Name
Please upload the image of a state ID or passport for parent or guardian (2)
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Name of Participant
*
First Name
Last Name
Gender
Male
Female
N/A
Gender
Male
Female
N/A
Birth Date of Participant
*
-
Month
-
Day
Year
Date
Please upload an image of the participant's state ID or passport.
*
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Please upload an image of the participant's birth certificate
*
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Please upload a head shot of the participant. Head shots should be from the neck up and photographed against a white or light background.
*
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Age Group (6u,7u,8u,9u,10u,11u,12u,13u)
*
Please select the participant's age group
*
Please Select
6u
7u
8u
9u
10u
11u
12u
13u
Height
Weight
School Grade as of Fall 2024
*
Full name of Student Athlete's School
*
School's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact (1)
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
Emergency Contact (2)
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
How did you hear about us?
*
Please Select
Returning Player
A Friend or Family Member
Social Media
Google Search
Walking or Driving by the Field
Referred by Current Player
Other
Other
Do you have any questions for us at this time?
Will you be willing to recommend us?
Yes
No
Maybe
A Valid Physical (The Participant must have a valid physical allowing their participation in extracurricular activity through November 2025. Any valid physical from a doctor's office can be uploaded here. Please upload the completed file in this tab.)
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Most Recent Progress Report and/or Report Card (Please upload a copy of the participant's most recent progress report / report card. If the participant is graded on a portfolio basis, please include the portfolio in this section. If the participant is being homeschooled, please upload a piece of summative work they have done.)
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Please refer two new participants
Rows
Full Name
Contact Number
1
2
Please Click below to accept Terms of Service 1
*
Terms of Service - 1 - I acknowledge that I have filled out the above information truthfully and to the best of my ability. I have shared the information with the participant, and they are aware of the expectations to be part of the Harlem Jets Program.
Please click below to accept Terms of Service - 2
*
Terms of Service - 2 - I did not forge the participants' signatures. I am aware that forging any documentation will result in the participant being released from our program and may also result in legal action. I understand I must purchase a membership for the player in order for the participant to be fully registered. By checking this acknowledgement and signing the form below, I fully acknowledge this registration form is truthfully completed.
Signature of Legal Guardian
*
Print Name of Legal Guardian
*
Print Name of Legal Guardian
*
Signature of Participant
*
Print name of Participant
*
Print Name of Participant
*
Payment type
*
Cash
Credit
Please Select one for payment later
*
Football Registration - $365.00
Jetsetters Cheer - $255.00
Please select one for credit card payment
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Football Registration
$365.00
$
365.00
one-time payment
Jetsetters Cheer
$255.00
$
255.00
one-time payment
Please enter your first name, last name and credit card information
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