2011 Football & Cheer Registration
Please complete the following information, one application per child

APPLICANT INFORMATION
Athlete’s Name:                               Age:                      Sex:                           Birthdate:

Street Address:                                              City State Zip:

Athlete lives with:                             

PARENT / GUARDIAN INFORMATION:
                                    

Father’s Name:                                          Phone:                             E-mail:

Mother’s Name:                                         Phone:                             E-mail:

Guardian’s Name:                                      Phone:                             E-mail:

Team Registering For: Emergency Contact Name & Phone:

Known Allergies & Medications:








Additional Information:







CONSENT TO RELEASE INFORMATION
I understand that by me entering my name and initials I agree to the rules and guidelines of the Desoto Tigers. I authorize the Desoto Tigers Youth Sports Organization to obtain verification of all information on this application and that additional information may be necessary for registration. I certify that all of the information on this form is true and correct.

Name of Parent/Guardian Completing Registration Form:


Parent/Guardian Initials:                                           Date:

The Desoto Tigers
Youth Sports Organization