Apache Junction Black & Gold Youth Football League 2017 Tackle ...
Apache Junction Black & Gold Youth Football League 2017 Tackle Football and Cheer P.O. Box 948 Apache Junction, Arizona 85117 [email protected] www.ajbgyfl.com ☐New participant ☐Returning Participant ☐Football $250 ☐Cheer $165 Please complete one form for each participant in your family. Basic Participant (Child) Information: Please print clearly First Name: Last Name: DOB: Age as of 8/1/17: Gender: ☐Male ☐Female Parent/Guardian 1 (Participants address and main contact info) First Name: Last Name: Address: Email: City: State: Zip: Phone: Parent/Guardian 2 First Name: Last Name Address: Email: City: State: Zip: Phone: Medical Conditions/Limitations
Payment Policy: PLEASE READ IN FULL! I understand by signing this form I am responsible to abide by the payment policy set forth by Apache Junction Black and Gold Youth Football League (AJBGYFL). Payment for registration is due at the time of registering my child for AJBGYFL. Payment plans may only be accepted ONLINE through the AJBGYFL league website and must be followed and paid on the dates specified online. All registration fees must be paid IN FULL no later than 7/8/17. Should I not complete my payments by this date, my child will not be eligible for uniform ordering and participation in league practices or games. Should I register or pay later than 7/8/17, my child’s uniform may be ordered, but I will be responsible for additional shipping charges related to uniform shipment. These fees will be addressed at the time of uniform order submission. I understand that I will receive NO REFUNDS of any paid fees should I voluntarily withdraw my child from the league. I understand if my child does not return after his/her uniform has been ordered, I WILL NOT receive a uniform or a refund, and his/her uniform order will be CANCELLED!
For League Use Only! Program Price: Non-refundable Additional Participant Discount: Only applied after the first participant registration is complete Credit Card Fee: 3% added for any credit card transactions Total: Amount Paid: Payment Type: ☐Cash ☐Check #_______ ☐Credit Card Last 4 digits of CC _______ Payment Accepted By: Board Member Initials
$ $ $ $ $
Parent/Guardian Signature: ______________________________________Date:_________________________________ PLEASE BRING YOUR CHILD TO ONE OF OUR IN-PERSON REGISTRATIONS TO SIZE FOR THEIR UNIFORM! Last day to size is 7/8/17 Your child MUST have the following items to participate: What is provided to your child: Matte Black Helmet and mouthpiece (1) Game Jersey with Name/Number Shoulder Pads (1) Game Pants Cleats (1) Pair Game Socks Practice Pants and Jersey (1) Pair Helmet Decals Please visit our website www.ajbgyfl.com for upcoming events, dates and important information!
Payment Policy: PLEASE READ IN FULL! I understand by signing this form I am responsible to abide by the payment policy set forth by Apache Junction Black and Gold Youth Football League (AJBGYFL). Payment for registration is due at the time of registering my child for AJBGYFL. Payment plans may only be accepted ONLINE through the AJBGYFL league website and must be followed and paid on the dates specified online. All registration fees must be paid IN FULL no later than 7/8/17. Should I not complete my payments by this date, my child will not be eligible for uniform ordering and participation in league practices or games. Should I register or pay later than 7/8/17, my child’s uniform may be ordered, but I will be responsible for additional shipping charges related to uniform shipment. These fees will be addressed at the time of uniform order submission. I understand that I will receive NO REFUNDS of any paid fees should I voluntarily withdraw my child from the league. I understand if my child does not return after his/her uniform has been ordered, I WILL NOT receive a uniform or a refund, and his/her uniform order will be CANCELLED!
For League Use Only! Program Price: Non-refundable Additional Participant Discount: Only applied after the first participant registration is complete Credit Card Fee: 3% added for any credit card transactions Total: Amount Paid: Payment Type: ☐Cash ☐Check #_______ ☐Credit Card Last 4 digits of CC _______ Payment Accepted By: Board Member Initials
$ $ $ $ $
Parent/Guardian Signature: ______________________________________Date:_________________________________ PLEASE BRING YOUR CHILD TO ONE OF OUR IN-PERSON REGISTRATIONS TO SIZE FOR THEIR UNIFORM! Last day to size is 7/8/17 Your child MUST have the following items to participate: What is provided to your child: Matte Black Helmet and mouthpiece (1) Game Jersey with Name/Number Shoulder Pads (1) Game Pants Cleats (1) Pair Game Socks Practice Pants and Jersey (1) Pair Helmet Decals Please visit our website www.ajbgyfl.com for upcoming events, dates and important information!
