Fall Flag Sign-up Form

Main | Flag Home | Fall League | Winter League | Spring League | Summer Clinic | Team-Sign up | Opportunities | Feedback | Directions

Flag Fall Football Sign-up Form

* Indicates required field

Player Name *

First

Last

School *

New Player *

Yes No

who referred you *

Gender *

Boys Girls

Shirt Size *

Grade Sept 2018 *

Please list names of friends that you would like to play with. Remember we can only put so many friends per team. *

Parent Name *

Parent Phone *

Parent Email *

Can we use your child's picture in our social media and website? *

Yes No

Parent help is very important to the success of the program. Would you like to coach? *

Yes No

Select One: Payment will be $105 if submit after Sept 11 *

I’m mailing payment of $95 postmark before 9/11 I will complete the PayPal/Credit Card transaction after I submitted the form of $95 before 9/11

Make Checks Payable to: NEB
Mail Checks to: NEB, PO Box 1336, Plaistow, NH 03865

Please don't use the PayPal account as of 9/10/18 we are placing players on a waiting list because we don't have room. If you pay by PayPal you will only get a $91.00 refund!!
Note: Submit the form to complete and or proceed with PayPal/Credit Card secure payment on the next page.

Submit

Home Facilities - Haverhill, MA

978-807-6714

nebasketball@yahoo.com