2012 Jr Eagles Registration
Midlakes Jr. Eagles Athletic League Inc.
P.O. Box 131
Clifton Springs, NY 14432
Participant Information
Fill in the information below to join the Midlakes Jr. Eagles for 2012.
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First Name
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Last Name
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Parent/Guardian Name
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Date of Birth
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What School will your child be attending this year?
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Age as of 8/1/2012
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Address 1
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City
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State
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Postal Code
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Phone
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Email Address (an address you routinely monitor, we will use it for most of our communications)
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Player
Cheerleader
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Which team will you be on this year?
A Team
B Team Cheer
C Team
Flag Team
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Did you participate last year?
Yes
No
To complete registration please upload a current picture for your child
To complete registration please upload a copy of the birth certificate for your child
To complete registration please upload a copy of a current physical for your child
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Please select the correct registration by checking the appropriate box. *(Note when selecting Family plan complete the registration for the first child including paypal payment. Once complete register additional children by going back to the registration form and selecting additional child at the payment option. You must select family plan first to register additional children free)
A,B or C Team Football/Cheerleading
Flag Football or Cheer
Family Plan (2 or more A,B, C participants)
Multi-Child with Flag (2 or more children with at least 1 flag)
Select for additional children on a family plan
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Indicates Response Required