CAPITAL AREA MINOR FOOTBALL ASSOCIATION

22 Young Street

Fredericton, N.B., E3A 3Y2

     2010 OROMOCTO FLAG FOOTBALL REGISTRATION FORM

   
NAME:______________________________________ BIRTHDAY D/M/Y:  __________
ADDRESS:__________________________________  AGE ON 31/12/10:___________
                    ________________________________ HEIGHT:__________________
POSTAL CODE:______________________________ WEIGHT:__________________
PHONE:_____________________________________ OTHER  SPORTS PLAYED:
SCHOOL (SEPT./10):_________________ 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

OROMOCTO FLAG                      $100

T-SHIRT SIZE

FEES:

(CIRCLE ONE)

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:

OROMOCTO FLAG PLAYERS MUST BE BORN IN 2001, 2002, 2003, 2004.
   

  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.