A-Division (10-11 years old)

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$150.00

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Youth Tackle Football

Player's Name *

Player's Birthday *

Approx. Weight of Child *

Allergies/Concerns

Parent Volunteer Select all that apply Head Coach Assistant Coach Concession Helper Chain Gang

All youth athletes and their parents/guardians must view the Ohio Department of Health (ODH) video about Sudden Cardiac Arrest, review the ODH SCA handout and then sign names below *

All Parents/guardians and athletes must acknowledge they will comply with Willowick Recreation and Football Code of Conduct policies and then sign names below * *

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