DEADLINE: June 23, 2017
DEADLINE: June 23, 2017 Birth Certificate Required 2 0 1 7 5 TH - 6 TH GR AD E T AC K LE FOOTB ALL Fee: $65.00 plus a $100.00 deposit on equipment. No equipment will be checked out until the deposit is paid. Registration fees and equipment deposits will be deposited. A reimbursement check will be issued upon the return and passed inspection of equipment (minus any deductions for damage). All equipment is due back in the KNRC office by the Friday after the last game.
DEADLINE: June 23, 2017 ADD $20 TO ENTRY FEE AFTER DEADLINE LAST DAY FOR ENTRIES: July 7, 2017 Games will begin the weekend after Labor Day. Players can not be 13 before Sept. 1, 2017. Please sign up according to age as of Aug. 31, 2017, also grade for the Fall of 2017. Out of district players, space limited. Please contact the KNRC office at 131 West A Avenue, inside Eagles Landing. Address_____________________ City_________________________ State________________________ Zip_________________________
Birth date_____________ Age___________________ Emergency Phone Grade-Fall-’17__________ ________________________ Sex____________________ E-mail Address School_________________ ________________________ Parent/Guardian’s Name (please print) _________________________ Parent Signature _________________________
Medical Information/Concerns ________________________ ________________________ _________________________
4th Graders are allowed to sign up for 5th grade tackle football but will only be used if needed to fill the teams.
Helmet size______________ Pant size________________ Shoulder pads____________ Jersey size_______________ $65 Registration____________ $100 Equip. Deposit__________ $85 Late Fee_______________ Registration Form__________ Birth Certificate____________ 131 West A Avenue PO Box 223 Kingman KS 67068 620-532-2761 [email protected] KNRC Website: knrec.org
DEADLINE: June 23, 2017 ADD $20 TO ENTRY FEE AFTER DEADLINE LAST DAY FOR ENTRIES: July 7, 2017 Games will begin the weekend after Labor Day. Players can not be 13 before Sept. 1, 2017. Please sign up according to age as of Aug. 31, 2017, also grade for the Fall of 2017. Out of district players, space limited. Please contact the KNRC office at 131 West A Avenue, inside Eagles Landing. Address_____________________ City_________________________ State________________________ Zip_________________________
Birth date_____________ Age___________________ Emergency Phone Grade-Fall-’17__________ ________________________ Sex____________________ E-mail Address School_________________ ________________________ Parent/Guardian’s Name (please print) _________________________ Parent Signature _________________________
Medical Information/Concerns ________________________ ________________________ _________________________
4th Graders are allowed to sign up for 5th grade tackle football but will only be used if needed to fill the teams.
Helmet size______________ Pant size________________ Shoulder pads____________ Jersey size_______________ $65 Registration____________ $100 Equip. Deposit__________ $85 Late Fee_______________ Registration Form__________ Birth Certificate____________ 131 West A Avenue PO Box 223 Kingman KS 67068 620-532-2761 [email protected] KNRC Website: knrec.org
