Registration

Football Registration will be held Saturday May 3 and Saturday June 7 from 9 - 11am at the Hempfield Sports Complex -  Church Street Entrance.  The Cost is $80 and first year players must bring a copy of their birth certificate.

The Cheerleading Registration form is due by April 19 2008. Please print the attached information.

 HEMPFIELD ASSOCIATION FOR MIDGET SPORTS
                                 CHEERLEADING REGISTRATION FORM
                                                              2008

********Deadline For Turn-In: April 19, 2008******************************

Child's Name:  __________________________________________________________
Birthdate:______________________________________________________________
School (as of September 2008): ____________________________________________
Grade (as of September 2008): _________________

Father's Name and Address: ________________________________________________
______________________________________________________________________
Home Phone: ___________________________ Work Phone: _____________________
e-mail address:______________________________________________

Mother's Name and Address: _______________________________________________
______________________________________________________________________
Home Phone: ___________________________ Work Phone: _____________________
e-mail address: __________________________________________________________

Have you cheered before? ___________________
For which squad (A-D) will you be trying out?  ____________

Health Insurance Carrier: __________________________________________________
Policy Number: __________________________________________________________
Preferred Physician and Phone: ______________________________________________
Allergies/Medical Conditions:_______________________________________________
_______________________________________________________________________

In case of emergency, whom shall we contact if parents cannot be reached:

Name and address:________________________________________________________
______________________________________________Phone: ___________________
Relationship to Cheerleader:________________________________________________

Name and address: _______________________________________________________
______________________________________________Phone: ___________________
Relationship to Cheerleader:_________________________________________________

_____________________________________
Parent/Guardian Signature and Date

_____________________________________
Cheerleader Signature and Date

*********************************************************************
Registration Fee Paid: _____________
Date Paid: ______________________
Check No: ___________________
.