CAPITAL AREA MINOR FOOTBALL ASSOCIATION 

28 Young Street

Fredericton, N.B., E3A 3Y2

     2012 NFL SUMMER FLAG FOOTBALL REGISTRATION FORM

  
NAME:______________________________________ BIRTHDAY D/M/Y:  __________
ADDRESS:__________________________________  AGE ON 31/12/12:___________
                    ________________________________ HEIGHT:__________________
POSTAL CODE:______________________________ WEIGHT:__________________
PHONE:_____________________________________ OTHER  SPORTS PLAYED:
SCHOOL:__________________________GRADE______  _________________________
MEDICARE # :________________________________ _________________________
E-MAIL ADDRESS:______________________________________________________________

  

PLEASE INDICATE THE AREA IN WHICH YOU LIVE (X).

LINCOLN: _____ SOUTHWOOD: _____ SKYLINE ACRES: _____
CITY CENTRE: _____ SILVERWOOD: _____ NEW MARYLAND: _____
HANWELL RD.: _____ WOODSTOCK RD.: _____ MARYSVILLE: _____
DEVON: _____ NASHWAAKSIS: _____ OROMOCTO: _____
BURTON: _____ GEARY: _____ ______________: _____

  

REGISTRATION

U16            $50

T-SHIRT SIZE

FEES:

 U13            $50

(CIRCLE ONE)

(CIRCLE ONE)

 Open          $50

AS,   AM,  AL

 

  AXL,  AXXL

Capital Area Minor Football provides all football equipment, except footwear, as part of the registration fee.
Registration charge includes either City of Fredericton or Town of Oromocto user fees.

   

AGE CATEGORIES:

U16 PLAYERS MUST BE 13, 14 OR 15 ON DECEMBER 31 OF THIS YEAR.
U13 PLAYERS MUST BE 10,11 OR 12 ON DECEMBER 31 OF THIS YEAR.

OPEN DIVISION PLAYERS MUST BE 16 OR OLDER ON DECEMBER 31 OF THIS YEAR.

   
 In the event of medical emergency and I am unavailable, I give my consent for whatever procedures are necessary by qualified medical staff. I understand that by the nature of the game of Football that injuries may occur. I hereby agree not to hold C.A.M.F.A. and any of its officers or coaches responsible for said injuries. I give permission to use photos of my child or their team on the C.A.M.F.A. website. I understand that no names will be published with pictures. I am aware that all teams are operated by C.A.M.F.A. and not by the schools that the children attend. I understand that C.A.M.F.A. assumes all liability and that the schools involvement is only promotional.
  
PARENT /GUARDIAN SIGNATURE: ___________________________ DATE: _______________

  
I WOULD LIKE TO VOLUNTEER: _______ WORK PHONE NUMBER: ____________________
HAVE ANY OF THE PLAYER'S RELATIVES EVER PLAYED ORGANIZED TACKLE FOOTBALL?  _______ 

   
NOTE: PAYMENT MUST BE INCLUDED WITH THIS FORM FOR REGISTRATION TO BE PROCESSED. PLEASE DO A SEPARATE
CHEQUE FOR EACH PLAYER BEING REGISTERED.  MAKE CHEQUES PAYABLE TO CAPITAL AREA FOOTBALL.  
SUMMER FLAG PROGRAM CHEQUES MAY BE POSTDATED TO MAY 31.  MAIL TO ADDRESS AT TOP OF THIS FORM.