Canton Chargers Youth Football & Cheer Registration Form
Register to the Canton Chargers team below
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Player Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player’s age
5
6
7
8
9
10
11
12
Parents Name
First Name
Last Name
Parents Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School
Football player or Cheerleader
Football
Cheerleader
Baby Charger
Grade
2nd
3rd
4th
5th
6th
7th
Level team
Please Select
A team
B team
D team
C team
Offense or Defence
Offense
Defense
Don't Know
Height
Height in inches
Weight
Weight in lbs
Allergies
Do player take any medicines?
Do we have permission to post pictures of this player on social media or other news sources?
Yes
No
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