Please provide a COPY of the birth certificate with

							                            Lake Fenton Youth Football and Cheerleading
                                         Registration Form
Date: ____________

Please check your interest:          Cheerleading _______ Football ________

Participants Full Name:       ________________________________________________
Address:                      ________________________________________________
                              ________________________________________________

Day Phone #:       __________________                 Night Phone #: ___________________________

Parent e-mail address (required): ________________________________________________________
School Attending Fall, 2008: _______________             Grade Fall, 2009** _____
Birthday ***: ____________ Age on Aug. 15th: ________ Weight (football only): _________ < 160 Lbs
Parent / Guardian Names: ______________________________________________________________
Emergency Contact (if different, incl. name & number): ______________________________________

A sports physical is due before the start of the first day of practice for cheer or football.

Please provide a COPY of the birth certificate with this registration.
What can you help the league in? Please check all that apply. We need your involvement!
_____ Concession Stand       _____ Press Box           ______ Video / Photography
_____ Coaching               _____ Other ___________________________________________

Need Football Jersey? No if played last year for Lake Fenton (Y or N ) ___              Size ____

Jersey #’s Desired?: _______________________ (Enter mult. choices, we will TRY to accommodate).

For cheer, additional charges not covered by your registration fee are required for the purchase of tennis
shoes, briefs, socks, hair bow and bodysuit and cold uniform. These will be ordered through your coach.

Registration: $90.00          Football Jersey: $50.00 (if needed)              Late fee (after 3/19/09): $35.00
Volunteer/equipment deposit: $20.00 – your deposit will be refunded (unless on scholarship) upon
fulfilling volunteer commitment AND equipment being picked up and returned on due date.

Due to early uniform order requirements and team development, no late cheerleading signups accepted!

Make check payable to Lake Fenton Youth Football. NO REFUNDS except for medical reasons or relocation.
 Scholarship applications are available upon request. SCHOLARSHIP VOLUNTEER FEE WILL NOT BE
                                               REFUNDED.

Parent / Guardian Signature __________________________________ Date ______________
** Lake Fenton school district Seventh graders have the option of playing football for Torrey Hill Middle School.
*** A player must be at least 8 years of age on or before December 31, 2009. A player cannot be 13 years of age or older on or
before June 1st 2009. A player can be in the 8th grade as long as they meet the age and weight requirements.

Lake Fenton Youth Tackle Football and Cheerleading is not affiliated with Lake Fenton Schools nor Southern Lakes Parks
and Recreation. We are supported by registration fees, fundraising, program sales, sponsorships, and the generous donations of
members of the community.

Do not write below this line – LFYF personnel only:                                                               rev. 083008 tb

Amount Received ________                 Check # or Cash Receipt Number                   _____________

Waiver Received? _________                A signed waiver must also be submitted with every registration.

Birth Certificate Received? ____________
                                                                                                             2/27/2009