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SPONSORSHIP Opportunities

  <<< O >>>

If you prefer to submit a paper application
click here for a downloadable Football Registration Form in PDF format.
If you do not have a copy of the PDF Reader, see the bottom of this page.

Football Registration Form
Form can be used for up to 3 participants from one family at the same address.

Online registration is CLOSED for the 2012 Season.
If you still wish to register please send an Email to
fbinfo@paxtonathletics.org  (for Football) or
cheercommissioner@paxtonathletics.org (for Cheer).

 

A $15 LATE FEE will be added to any registration received after July 10.

Registration Process -- Please complete all 3 steps:
[1] Complete this Registration Form
PLEASE NOTE -- if you are registering more than 3 participants, please complete an additional form
 [2] Download and complete CFA Registration Form for each participant (Football Only)
Parents must complete the CFA Form, get Doctor's signature, and bring to the Equipment Handout (July 23)
 [3] Make Payment (Bottom of this page)

IMPORTANT:  Online registration MUST be accompanied by an online payment.
Registrations received without online payment will NOT BE PROCESSED.
If you prefer to not submit an online payment, please use the downloadable
 Football Registration Form  and submit by mail accompanied by your payment.

      

A $15 LATE FEE will be added to any registration received after July 10.

Online registration is CLOSED for the 2012 Season.
If you still wish to register please send an Email to
fbinfo@paxtonathletics.org  (for Football) or
cheercommissioner@paxtonathletics.org (for Cheer).

 

[1]                      Registration Form
Participant # 1 Program Interest  Football    Cheerleading
Participant Child #1 First Name  
Participant Child #1 Last Name  
Age on April 30 this year  
Birth Date (mm-dd-yy)   First year players must provide a copy of their Birth Certificate.

If no additional participants from this family, skip to Address section.
Participant #2 Program Interest   Football    Cheerleading
Participant Child #2 First Name    
Participant Child #2 Last Name    
Age on April 30 this year    
Birth Date (mm-dd-yy)     First year players must provide a copy of their Birth Certificate.

If no additional participants from this family, skip to Address section.
Participant #3 Program Interest   Football        Cheerleading
Participant Child #3 First Name    
Participant Child #3 Last Name    
Age on April 30 this year    
Birth Date (mm-dd-yy)     First year players must provide a copy of their Birth Certificate.
 
Please note that all participants registered on this form
MUST reside at the SAME ADDRESS.
Street Address  
City  
ZIP Code  
Township/Borough  
Home Telephone  
Alternate Phone  
Email Address  
 
Participant #1 School enrolled Fall 2012  
Participant #1 Grade enrolled Fall 2012  
Participant #1 # years Paxton experience  0  1  2  3  4  5  6+
Participant #1 Height   use ft-in (5'-4") or inches (64")
Participant #1 Weight  pounds
[Cheerleader Only] Wind Suit size    [ See Wind Suit size chart ]
Participant #2 School enrolled Fall 2012    
Participant #2 Grade enrolled Fall 2012    
Participant #2 # years Paxton experience   0  1  2  3  4  5  6+
Participant #2 Height     use ft-in (5'-4") or inches (64")
Participant #2 Weight    pounds
[Cheerleader Only] Wind Suit size      [ See Wind Suit size chart ]
Participant #3 School enrolled Fall 2012    
Participant #3 Grade enrolled Fall 2012    
Participant #3 # years Paxton experience   0  1  2  3  4  5  6+
Participant #3 Height     use ft-in (5'-4") or inches (64")
Participant #3 Weight    pounds
[Cheerleader Only] Wind Suit size      [ See Wind Suit size chart ]
 
Father First Name  
Father Last Name  
Father Phone  
Father Email  
Mother First Name  
Mother Last Name  
Mother Phone  
Mother Email  
Please indicate how you can help
support the program this year
 (Check all that apply)		   Team Parent (Football/Cheer)
Game field set-up  Game field tear-down
Game day Announcer/DJ
Fundraising Committee
Concession or 50/50 Sales
Game day Gate Keeper
Game day Weigh Master
 
Consent for Treatment
I do give consent for treatment of the child named above in any case of my unavailability, should any emergency need, medical or surgical, arise for my child during the season. Should a specialist’s advise or services be required, please list preference:
Hospital Preference  
Family Doctor  
Doctor Phone  
Emergency Contact  
Emgy Contact Phone  
Health Insurance Company Name  
Policy #  
Group #  
Tetanus Injection -- Participant 1   (date -- mm-dd-yy)
                                                              Enter "00/00" if unknown
Tetanus Injection -- Participant 2   (date -- mm-dd-yy)
                                                              Enter "00/00" if unknown
Tetanus Injection -- Participant 3   (date -- mm-dd-yy)
                                                              Enter "00/00" if unknown
Please list allergies, especially to any food, fluid or medicines [Identify allergies by participant]  
List Medical Conditions we should be aware of
[Identify medical conditions by participant]		  
Does your child wear contacts? Yes    No
If YES, which child(ren)?
List medications your child is currently taking
[Identify medications by participant]		  

CFA Football Conference Rules and Regulations.

Be sure to review the CFA Rules & Regulations regarding Eligibility and Weight classes.  To download a printable copy, click here.
 

By my electronic signature and submitting this form, I, the parent or guardian of the child named above, hereby give consent and approval for my child to participate in all of the activities required
during the season. I do assume all the risks and hazards incidental to the conduct of the activities, transportation if necessary to and from the activities, and I do hereby release, absolve, indemnify and hold harmless, the PAXTON ATHLETIC ASSOCIATION (the Association), the organizers and sponsors and hereby waive all claims against the organizers and sponsors or any of the supervisors appointed by them.

I hereby attest that I carry insurance and fully agree that any injuries incurred by the player during these activities will be charged to this Insurance. I understand that the Association does carry excess insurance which will, within the limits of such policy, pay any medical, dental, and/or hospital expenses not paid by my insurance, provided such injury is reported to the Association within forty-eight (48) hours of such injury.  I understand that each player may be required to undergo a physical examination prior to entry into some activities. If such physical is required, the Association will furnish the necessary forms, but the cost of such examinations will be borne by me, the parent/guardian.

Furthermore, I hereby agree, by my signature below, to be responsible for any equipment signed out by the player. I agree to return to the Association, at the request of the Head Coach or upon resignation of the athlete, all equipment signed out. This equipment will be cleaned and in at least the same condition as when issued, minus normal wear and tear. I further agree to reimburse the Association for any equipment lost, destroyed or damaged and to reimburse the Association for any required cleaning services.

I understand that there will be, in some activities, additional equipment needed by the player that is not furnished by the Association. Shoes, socks, athletic supporters, mouthpieces, etc., are some of the items that may be required and will be my responsibility. Some of these items may be available through the Association at a reduced cost.

To all the above I formally agree and give my full consent and approval to this child to participate in all the Association activities.

Photo Release for Children Under 18 Years of Age

I hereby grant Paxton Athletic Association to use the photo and or other digital reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.

Parent’s Code of Conduct

I hereby pledge to provide positive support, care, and encouragement for my child participating in youth sports by agreeing to follow this Parent’s Code of Conduct:

1. I and my family will be positive role models for my child and encourage sportsmanship by showing respect and courtesy to all officials, coaches and spectators at every game, practice or PAA event and by demonstrating positive support for all the players.
2. I will not engage in any kind of unsportsmanlike conduct with any official, coach, player, or parent, such as booing, taunting, refusing to shake hands or using profane language or gestures.
3. I will not encourage any behavior or practices that would endanger the health and well being of the athletes.
4. I will demand that my child treat other officials, coaches, players, and spectators with respect, regardless of ability, race, religion, creed, gender, age or any other status.
5. I will teach my child that doing one’s best is more important than winning, so that my child will never feel defeated by the outcome of the game or his or her performance.
6. I will praise my child for competing fairly and trying hard and will make my child feel like a winner every time.
7. I will never ridicule or yell at my child or other participants or coaches for making a mistake or losing a competition or game.
8. I will respect the officials and their authority during games and will never question, discuss, or confront them at the game field. Instead I will make time to speak with the coaches at an agreed upon time and place after the game to discuss such matters.
9. I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and I will refrain from their use at all sporting events.
10. I will refrain from coaching my child or other players during the games and practices, unless I am one of the official coaches of the team.
11. Parents as well as children will maintain a positive attitude towards one another, coaching staff, referees and opponents. At no time will negativity be permitted.
12. I understand that failure to abide by this Code of Conduct could result in expulsion from the premises and any further Paxton Athletic Association function.
   
Type of payment to be submitted
Secure payment form is at bottom of this page,
 and must be submitted separately
after completing this Registration Form.		  

 

PayPal Payments accept all major credit cards.
It is NOT necessary to open a separate PayPal account to use PayPal.

CHEER Registration Fee includes Sneakers, Bloomer Package and Windsuit.
The Windsuit may be kept at the end of the season.

Please note that families have a choice of participating in a Fund-Raiser OR
doing a Buy-Out.  The Buy-Out is $40.00 for a single player and $60.00 for a family.
The choice of whether to participate in the Buy-Out MUST be indicated in the selection above
 AND must be indicated when making your registration payment (below).
   
Parent or Guardian Electronically Signing Form  
Today's Date   mm-dd-yy
 

Your registration is not complete
until your PAYMENT has been received.
Please come back to this page to complete your payment (below).

 

Online registration is CLOSED for the 2012 Season.
If you still wish to register please send an Email to
fbinfo@paxtonathletics.org  (for Football) or
cheercommissioner@paxtonathletics.org (for Cheer).

 

 

 

Solution Graphics

Online registration is CLOSED for the 2012 Season.
If you still wish to register please send an Email to
fbinfo@paxtonathletics.org  (for Football) or
cheercommissioner@paxtonathletics.org (for Cheer).

 

 

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