Registration | NP Youth Football

NPYFL tackle registration
2nd-6th grade

Parent 1 Full Name

Parent 1 Phone

Parent 1 Work Phone

Parent 1 Full Address, City, State, Zip

Parent 1 Email

Parent 2 Full Name

Parent 2 Phone

Parent 2 Work Phone

Parent 2 Full Address, City, State, Zip

Parent 2 Email

Player Full Name

Player Birthdate

Grade (Fall):

Player Pants Size

Player Shirt Size

Please list any allergies and medical conditions including those requiring medications (i.e. Diabetes, Asthma, Seizure Disorder).

Parent, Guardian, or Emergency Contact Full Name

Parent, Guardian, or Emergency Contact Phone

Family Physician Name

Family Physician Phone

Preferred Hospital

Parent or Legal Guardian Authorization In case of an accident or illness, I hereby authorize a representative of NPYFL (including head coach and assistant coaches) to use his/her judgement in obtaining immediate medical care. I agree that I will assume all financial obligations connected with any medical treatment provided to my child. In case of emergency, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, ER Physicians, etc.) during the current NPYFL football season.

Parent / Legal Guardian Signature

By clicking this box you are agreeing that the above information is accurate to the best of your knowledge. You agree that the NPYFL will take online payment for the registration of your child's tackle football registration.

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NPYFL flag registration
k-1st grade