(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.
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.
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.
Relationship to Player*
If you selected "OTHER" please specify.
Release of Liability

Please read and acknowledge.
Use drop-down to view waiver.
Read/Acknowledge*

Yes
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?*

YES, I consentNO, I do not consent
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.

Checkout*

St. Louis Bills Tackle Football 2026 Product Image

St. Louis Bills Tackle Football 2026$350 due at checkout.

$350.00

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google 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

Payment Methods