2022 Equipment, Uniform & Fee Form
Player & Parent Contact Information
City, St., Zip
Helmet Sizes: Helmet Serial Number:
Shoulder Pad Sizes: Shoulder Pad Number:
Jersey Size: Jersey Number: Pants Sizes:
*** All new players are to select a minimum of 3 choices for Jersey number and will br assigned the first available number***
Registration Fee Paid: $ Balance: $
Divisions: Circle one
5 - 8 flag 9u 10u 12u 13u
The game uniform remains the property of the organization and will be collected at season end.
The Helmet & Shoulder pads remain the property of the organization and will be collected at season end.
Parent/Player are responsible for damage to game uniform & Equipment in excess of normal wear & tear.
Signature of Parent / Guardian: Date:
If equipment is lost or damaged replacement cost will be :
Helmet = $200 Shoulder pads = $100 Game Jersey = $80 Game Pants = $60