Registration | Cub Attack Girls Flag Football

Athlete Information

Athlete First Name*

Athlete Middle Name

Athlete Last Name*

Preferred Name

Date of Birth*

Current Age*

Current Grade*

School*

Home Address*

City*

State*

ZIP Code*

Athlete Email (if applicable)

Athlete Phone Number (if applicable)

T-Shirt Size*

Shorts Size*

Parent / Guardian Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Relationship to Athlete*

Email Address*

Primary Phone Number*

Secondary Phone Number

Home Address*

City*

State*

ZIP Code*

Preferred Contact Method*

PhoneTextEmail

Emergency Contact

Emergency Contact Name*

Relationship to Athlete*

Primary Phone Number*

Secondary Phone Number

Athletic Experience

Has your athlete previously played flag football?*

YesNo

Years of Experience (if yes)

Previous Team / Organization (if yes)

Primary Position(s) (if yes)

Has your athlete played other organized sports?*

YesNo

If yes, list sports

Preferred Offensive Position

Preferred Defensive Position

Athlete Strengths

Areas Athlete Wants to Improve

What does your athlete hope to gain from Cub Attack?

Medical Waiver & Liability Form

Parents/guardians are responsible for providing accurate health information, for notifying Cub Attack of any changes, and for authorizing emergency medical care.

Physician Name

Physician Phone Number

Insurance Provider

Allergies

Medical Conditions

Current Medications

Previous Injuries

Physical Limitations or Restrictions

Additional Medical Information Cub Attack Should Know

Does your athlete currently have medical clearance to participate in athletic activity?*

YesNo

I authorize designated Cub Attack representatives to obtain emergency medical assistance for my athlete if I cannot immediately be reached. I understand this acknowledgment does not replace appropriate professional legal or medical documentation.

Program Expectations

All acknowledgements are required.

I understand the Cub Attack program fee is $600 per athlete.I understand the fee includes practice uniforms, game uniforms, field usage, player development, personal development programming and a Cub Attack book bag.I understand participation requires commitment to practices, games and team activities.I understand athletes are expected to demonstrate appropriate sportsmanship and behavior.I understand parents/guardians are expected to demonstrate appropriate behavior at team activities.I understand roster placement may be determined by age, evaluation, participation numbers and organizational needs.I certify that the information provided in this registration is accurate.

Media Release

Photo / Video Permission

Select one*

Yes, I authorize Cub Attack to photograph/video my athlete for team, website, promotional and social media purposes.No, I do not authorize promotional use of my athlete's image.

Electronic Signature

Parent/Guardian Full Name*

Electronic Signature*

Date*

By submitting this registration, I certify that I am the parent/legal guardian or have authorization to register this athlete.

Join The Attack

Athlete Information

Parent / Guardian Information

Emergency Contact

Athletic Experience

Medical Waiver & Liability Form

Program Expectations

Media Release

Electronic Signature