Registration Form V2"*" indicates required fieldsName of Parent or Guardian* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 Football Athletes Participating 1 2 3 4 5 6Number of Total Cheerleader Athletes Participating 1 2 3 4 5 6Football Registration is $250 / Cheer Registration is $375 $25 Off 2nd Child $50 Off 3rd 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*Select OneFootballCheerSchool in August*Mother's Date of Birth* MM slash DD slash YYYY Grade Level in August*Relationship to Parent or Guardian*Relationship to Alternate or Other Parent or Guardian2nd Participant's NameDate of Birth MM slash DD slash YYYY Age on August 1stGenderWeight (if known)SportSelect OneFootballCheerSchool in AugustMother's Date of Birth MM slash DD slash YYYY Grade Level in AugustRelationship to Parent or GuardianRelationship to Alternate or Other Parent or Guardian3rd Participant's NameDate of Birth MM slash DD slash YYYY Age on August 1stGenderWeight (if known)SportSelect OneFootballCheerSchool in AugustMother's Date of Birth MM slash DD slash YYYY Grade Level in AugustRelationship to Parent or GuardianRelationship to Alternate or Other Parent or Guardian4th Participant's NameDate of Birth MM slash DD slash YYYY Age on August 1stGenderWeight (if known)SportSelect OneFootballCheerSchool in AugustMother's Date of Birth MM slash DD slash YYYY Grade Level in AugustRelationship to Parent or GuardianRelationship to Alternate or Other Parent or Guardian5th Participant's NameDate of Birth MM slash DD slash YYYY Age on August 1stGenderWeight (if known)SportSelect OneFootballCheerSchool in AugustMother's Date of Birth MM slash DD slash YYYY Grade Level in AugustRelationship to Parent or GuardianRelationship to Alternate or Other Parent or Guardian6th Participant's NameDate of Birth MM slash DD slash YYYY Age on August 1stGenderWeight (if known)SportSelect OneFootballCheerSchool in AugustMother's Date of Birth MM slash DD slash YYYY Grade Level in AugustRelationship to Parent or GuardianRelationship to Alternate or Other Parent or GuardianTotal Price: $0.00 Select your payment option below Pay by PayPal Pay by CheckFor payment by check please make check payable to Edgewater Youth Sports Association and mail to 1226 Mount Vernon Street, Orlando, FL 32803
