Register – Edgewater Eagles

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Registration Form

Name of Parent or Guardian*
Address*
Street Address City State ZIP Code
Parent or Guardian's Phone*
Parent or Guardian's Email*
Name of Alternate or Other Parent or Guardian
(Must be different than above)
Alternate or Other Parent or Guardian's Phone Number*
(Must be different than above)
Number of Total Athletes Participating
- 1
- 2
- 3
- 4
- 5
- 6
Football Registration is $250
- $25 Off Second Child
- $50 Off Third Child
- $75 Off Fourth Child and Every Child Thereafter
Cheer Registration is $375
- $25 Off Second Child
- $50 Off Third Child
- $75 Off Fourth Child and Every Child Thereafter
All registration fees must be paid prior to July 31st on order for the child to begin practice on August 1st.
1st Participant's Name*
Date of Birth*
MM slash DD slash YYYY
Age on August 1st*
Gender*
Weight (If Known)*
Sport*
Mother's Date of Birth*
MM slash DD slash YYYY
School in August*
Grade Level in August*
Relationship to Parent or Guardian*
Relationship to Alternate or Other Parent or Guardian*
2nd Participant's Name
Date of Birth
MM slash DD slash YYYY
Age on August 1st
Gender
Weight (If Known)
Sport
Mother's Date of Birth
MM slash DD slash YYYY
School in August
Grade Level in August
Relationship to Parent or Guardian
Relationship to Alternate or Other Parent or Guardian
3rd Participant's Name
Date of Birth
MM slash DD slash YYYY
Age on August 1st
Gender
Weight (If Known)
Sport
Mother's Date of Birth
MM slash DD slash YYYY
School in August
Grade Level in August
Relationship to Parent or Guardian
Relationship to Alternate or Other Parent or Guardian
4th Participant's Name
Date of Birth
MM slash DD slash YYYY
Age on August 1st
Gender
Weight (If Known)
Sport
Mother's Date of Birth
MM slash DD slash YYYY
School in August
Grade Level in August
Relationship to Parent or Guardian
Relationship to Alternate or Other Parent or Guardian
Payment Options*
- Pay Pal or Credit Card
- Pay by Check
- Cash App
- Venmo
- Zelle
- Cash
Payment Amount*

Football

Football Safety

Benefits of Playing

Cheer

Cheer Safety

We Are Pop Warner

Support the Edgewater Pop Warner Association

The Booster Club is the businesses, friends, family, fans, and community that support and help the Edgewater Pop Warner Association (EPW). EPW is our local 501(c)3 not-for-profit football and cheer organization.

Become a Member of the Booster Club with a Donation.

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