Clone of 2025 Howards Grove Youth Football Registration

2026 Howards Grove Youth Football Registration Form

Player information

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What grade will the student be in the Fall?

Age

Parent information

Parent/guardian name

First NameLast Name

Email

example@example.com

Primary phone number

Area CodePhone Number

Secondary phone number

Area CodePhone Number

We are in need of coaches and assistants in order to keep the league running smoothly. Please check if you would help in any of these areas:

Consent to medical treatment for minor

Family physician

For the following question, please include Insurance Company Name, Plan Name or Number, Member Number, Group Number and Provider Contact Phone Number

Insurance

Medical facility

Allergies/conditions/special instructions

Consent

Concussion information and waiver

Please take the time to read the Concussion Information and Waiver by clicking the link below. By checking the box below, you are indicating that you (as a parent or guardian) and the player have read, understand, and agree to the terms described.

Signature

Parent/Guardian Signature

Please verify that you are human

Please select your league (grade in the Fall)

Grade: Kindergarten through 2nd$25.00

Please enter a short description.

Grade: 5th through 8th$75.00

Please enter a short description.

Total $0.00

Pay with PayPal

Choose from one of the PayPal options to make your payment.