(Full Payment) Registration Form

St. Louis Bills Tackle Football Registration

All required fields must be completed before submission.
Player Information
Player's Name

First NameLast Name
Player's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player's Date of Birth

MonthDayYear
Date
Player's Current Age
Player's Grade for 2026-2027 School Year?
Name Of Player's School
Coach Request
Parent Information
1st Parent/Guardian Name

First NameLast Name
1st Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
1st Parent/Guardian Email
example@example.com
2nd Parent/Guardian Name

First NameLast Name
2nd Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
2nd Parent/Guardian Email
example@example.com
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Player
If you selected "OTHER" please specify.
Release of Liability

Please read and acknowledge.
Use drop-down to view waiver.
Read/Acknowledge
Photo Release Consent

Please read and acknowledge.
Use drop-down to view consent form.
Do you consent to the use of your player's photo(s) on various youth sports platforms?
Payment Information
$350 Full Payment Option:

How It Works - A one-time full payment of $350 due at checkout. You have the option of various payment platforms to complete purchase.

Coupon Code - You must enter the coupon code and click "apply" in order for the coupon to take effect.

Refunds: Refunds will be issued at the descretion of the organization on a case to case basis. $100 of each registration is NON-REFUNDABLE for player insurance which is automatically applied to every registered player. No exceptions.

Equipment Return: All equipment must be returned upon scheduled return date. Failure to comply WILL result in legal action.

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St. Louis Bills Tackle Football 2026

$350 due at checkout.

$350.00

Enter coupon

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Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Afterpay

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St. Louis Bills Tackle Football Registration

Player Information

Parent Information

Emergency Contact Information

Release of Liability

Photo Release Consent

Payment Information

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Payment Methods

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