2016 Perry Youth Football Cheerleading AWS

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Registration Form Child’s Name ______________________ Date of Birth: ___________ Age:____ Parent Name:___________________________________ Address:_______________________________________ Phone #: _________________________________ Email:_________________________________ Emergency Contact: ________________________ Phone:_________________

Does your child have a medical condition or allergies? ________ If yes, please describe ________________________________________ Is this your first year cheering? _____ Do you have a relative playing football? _____ If yes, Name:__________________________ Age:_________ Interested in participating in Cheer Challenge*? *Additional Fee Required

Interested in volunteering to Coach this year? Each family will be responsible for participating in the following fundraisers: • Malley’s Candy Sale • PYFL Reverse Raffle • Concession Stand Duty for one game Cost: $60 per child plus a $25 uniform deposit. Uniform deposit needs to be in a separate check. Uniform deposit will be returned once the uniform is turned in (clean and stain free) and all fundraisers are completed. No CASHIER CHECKS OR MONEY ORDERS. Register online at http://www.perryfootball.com/registration or complete this form and mail it to below address with a check payable to PYFL: Perry Youth Cheerleading c/o Holly Erickson 4271 E Oregon St, Perry, Ohio 44081 Deadline for Registration is July 24th, 2017 If you have any questions, please contact Holly Erickson at 440-655-0405 or email us at [email protected] Parent Signature: _______________________________________

Date: _____________