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Flag Fall Football Sign-up Form
Player Name
*
First
Last
Town or School
*
New Player
*
Yes
No
If new player who referred you? (Needed to qualify for raffle)
*
Gender
*
Boys
Girls
Shirt Size
*
Youth Small, Chest 33", Length 23"
Youth Medium, Chest 34", Length 23.5
Youth Large, Chest 36", Length 24.5
Adult Small, Chest 37", Length 25"
Adult Medium, Chest 40", Length 26.5"
Adult Large, Chest 41", Length 29"
Adult XL, Chest 44", Length 30"
Adult XXL, Chest 46", Length 30"
Grade Sept 2017
*
Grade 10th
Grade 9th
Grade 8th
Grade 7th
Grade 6th
Grade 5th
Grade 4th
Grade 3rd
Grade 2nd
Grade 1st
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
Our program has grown every year because of the help our parents and from their referrals. Please give us any new players parents email addresses that you may think would enjoy our program.
*
Parent help is very important to the success of the program. Would you like to coach?
*
Yes
No
To Mail a check:
*
I’m mailing full payment of $115 (Early Bird discount) if postmarked before September 8th
I’m mailing full payment of $125
Make Checks Payable to: NEB
Mail Checks to: NEB, PO Box 1336, Plaistow, NH 03865
Submit
Early Bird Special Save 10%
Pay Now $115.00 USD