"*" indicates required fields Player InfoPlayer Name* Player First Name Player Last Name Grade in Fall*Grade in Fall3rd4th5th6th7th8th9th10th11th12thShirt size*Shirt sizeYouth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult 2XLAdult 3XLParent (s) Guardian InfoParents/Guardians Names*NamePhone Number Add RemoveEmail* Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Notes/Medical InformationI Agree to waiver of liability and Equipment Return*I agree to take full responsibility for the football equipment provided by West Union Football to my child and will return all items at the end of the season at the designated turn-in date in good condition, assuming normal wear and tear. All equipment supplied for use will remain the property of West Union Football: Football helmet, football shoulder pads, practice jersey, black and/or green game jersey. I agree that these equipment items will only be used in a West Union Football practice and/or game and will not be used at home for recreational or any other purpose. Failure to return the items listed above by the equipment turn-in deadline at the end of the current season may result in my payment to the West Union Football program in the amount of replacement for like items. I agree to take full responsibility for the well being and liability of my child’s safety and health while participating in tackle football. I understand and agree that injuries and accidents can occur during any sporting activity and will not hold West Union Football, it’s coaches, trainers, volunteers, property landlord, or other players liable for any harm or injury that may occur with my child while participating in West Union Football. I agree to maintain health insurance for my child and take full financial responsibility for my child if uninsured without holding West Union Football liable for any costs or damages. I am aware that the coaches are teaching proper head’s up tackling fundamentals for the safety of my child. I agree that if my child requires medications such as inhalers for asthma or any other medical condition, I agree to bring them to each game and practice for my child and/or provide them to the training staff if one is available. I also understand that it is my responsibility to insure that water or sports drink be brought to each practice and game for hydration for the health of my child. Thank you for participating in West Union Football. We look forward to a fun and exciting season! I agree to waiver of liability and Equipment Return Elementary and JR High School Registration Fee Price: High School Registration Fee Price: Processing Fee Price: $0.00 Processing Fee Price: $0.00 Total Credit Card* PhoneThis field is for validation purposes and should be left unchanged.