Legacy 7 on 7 15u Registration Form

7 on 7 Registration Form 15u Team Dimes
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Athlete Information
Athlete's Name
First NameLast Name
Athlete's Phone Number
Please enter a valid phone number.
Birth date
MonthDayYear
Age
Athlete Jersey Top Size
Small, Medium, Large, etc...
Athlete Short Size
Small, Medium, Large, etc..
Athlete's School
Athlete's Graduation Year
year
Athlete's Position
Football position
Athletes Jersey # Preference
1st, 2nd, or 3rd choice
Athlete Email
example@example.com
Athlete's Twitter Handle
Parent/Guardian Information
Name
First NameLast Name
Cell Number
E-mail
example@example.com
Emergency Information or 2nd Parent
Emergency Contact's Name
First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

7 on 7 Registration Form 15u Team Dimes