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jaxonclay@gmail.com
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Player Registration
This form must be filled out by the head coach.
1
Player Details
2
Payment Details
Player Name
*
First
Last
Team Name
49ers
702 Jags
805 Warriors
AV Panthers
AZ Spiders
Baller Boys
Blackwolves
Bobcats
Broncos
Calgary
Canyon
Cowboys
Eilite
Elite
Force
Grizzlies
Indians
Knights
Manteca
Montebello
Outlaws
Patriots
Percy
Pico Don's
Predators
Raiders
Ravens
Seahawks
South Valley
Sundevils
Team #18
Team #19
Team #24
Team #25
Team #26
Team #27
TMT
Wasco
Wildcats
Wolfpack
Team Name
Enter your team name here if you dont see it.
League
Player Age Group
*
6U
7U
8U
9U
10U
12U
14U
Player Jersey Number
*
Position
Quarterback
Running Back
Wide Receiver
Offensive Line
Defensive Line
Kicker
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Continue to Payment
Hotel Stay
*
I am staying at a preferred hotel
I am NOT staying at a preferred hotel
Total
$ 0.00
Credit Card
*
Card Number
Security Code
Name on Card
Expiration
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
YY
21
22
23
24
25
26
27
28
29
30
31
Signature
*
Clear Signature
I understand and hold harmless the Pigskin Tournament and all its representatives and staff.
Comment
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