CFCA Winter Sports Sign-up Form

Player Name*

First NameLast Name

Other Family Name (If Different from Player)

Birthdate*

Date

Age*

Grade in School *

Name of School Player Attends*

Gender*

MaleFemale

What Sport Are You Signing Up For?*

Seasons of Experience in Sport Being Signed Up For*

Players Shirt Size*

Special Requests / Comments:

Existing Medical Conditions or Allergies (list medications, if appropriate)

Parent or Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Primary Phone Number*

Please enter a valid phone number.

Alternate Phone Number

Please enter a valid phone number.

Email Address*

example@example.com

Emergency Contact Person (Other than Parent or Guardian)*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.

Primary Care Physician

Primary Care Phone #

Please enter a valid phone number.

Insurance Carrier

Insurance Policy #

Hospital of Choice

I have read and understand the Permission, Understanding, and Waiver Statement.*

Yes

Parents/guardians should read and understand the following code of conduct:

Athletes should be aware of understand the following code of conduct:

The Parent or Guardian submitting this signup acknowledges reading and understanding the CFCA Code of Conduct for Parents and Guardians:*

Yes

The athlete being signed up acknowledges awareness and understanding of the CFCA Code of Conduct for Athletes:*

Yes

CFCA SPORTS OPTIONS - Select the sport being signed up for from the menu below. Please note, if your CFCA dues are not current, you should select the "Annual Dues" product as well. An additional charge to cover electronic payment processing will be added to your total fee before checkout.

CFCA Annual DuesAnnual dues are in addition to the individual sports fee. Dues are per family, per year. Dues do not need to be added if you have played a CFCA sport during the Spring or Fall.

$5.00

Co-Ed Basketball: Grades Pre-K - KThe FBA program is for grades Pre-K and K, and will be conducted on Saturdays only, for 6-7 weeks starting in early January (exact date and time TBD). This will be a clinic style, skills focused program that will introduce our youngest players to the basics of basketball. .

$25.00

Co-Ed Basketball: Grades 1 and 2Co-Ed basketball for grades 1 and 2 will focus on skills development, but will also add more focus on game situations, and games will be played against teams from the local area. Grades 1 and 2 will practice one night a week (night/time TBD) and play games on Saturdays. Players not interested in game play can still participate in FBA on Saturdays starting in January. Practices will begin in late November.

$25.00

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Total

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CFCA Winter Sports Sign-up Form

Participant / Athlete Information

Parent or Legal Guardian Information

Emergency Contact

Medical Information

Permission, Understanding, and Waiver Statements

CFCA Codes of Conduct - Parent/Guardian and Athlete