Spring_ Sign-up

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Spring Flag Football Sign-up Form

Player Name *

First

Last

Town or School *

New Player *

Yes No

Gender *

Boys Girls

Shirt Size *

Current Grade: *

Please list names of friends that you would like to play with. Remember we can only put a couple on each team. Make sure your in the same grade grouping. *

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: *

Mailing in full payment of $105 Complete the PayPal/Credit Card transaction after I submitted the form of $105.00

Received a $10 discount if choose to Pay Now or pay before April 15. Payment after will be $105.00

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

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