WORCESTER COWBOYS FOOTBALL – FLEX REGISTRATION 2018 Season Registration Fee - $170 $175 NO REFUNDS PLEASE PRINT CHILD’S NAME AS IT APPEARS ON BIRTH CERTIFICATE First Name _______________________ MI_____ Last Name________________________ Street Address _____________________________________________________________ M/F (Circle One) Current Age _______ Grade & School (Sept 2017) _________________
HELMET
Date of Birth _________ Parent/Guardian Name_________________________________ Phone #___________________ E-mail (please print CLEARLY)_________________________