Flag Football Registration

Parent/Guardian's Full Name (First & Last)

Phone

Email

Address

Child's Full Name (First & Last)

Gender

Male

Female

Child's DOB

Month

Day

Year

Football Level (Current Grade)

Registration Fee

Check box if available to help the Arthur Park District Flag Football as a Coach/Assistant Coach

Coach

Assistant Coach

● Flag Football Season is October 6th – October 29st

● Registration must be submitted to the Arthur Park District by Monday September 18th

● It is recommended that players wear cleats during games.

● Team jerseys must be worn over all other clothing during games.

● Please dress players according to the weather at the time of each game.

The Arthur Park District will provide insurance coverage for each player. This will serve as secondary coverage to your

personal policy. If you do not have insurance, the district’s coverage will serve as primary insurance.

In case of an emergency, please take my child to this hospital:

Emergency contact other than parents listed above:

Please list any medical conditions or health problems that the Arthur Park District and your child’s coaches should be aware of:

SPORTSMANSHIP PLEDGE: By registering my child for flag football I pledge that, as a spectator, parent, guardian, coach or participant, my family will demonstrate good sportsmanship at all Arthur Park District Flag Football events. I understand that good sportsmanship is a combination of fair play, respect and consideration for all others involved and primary to the mission of the Arthur Park District Flag Football program. I understand that if I demonstrate poor sportsmanship, in any way, I will be asked to remove myself and my child/children from the event immediately. THIS PROGRAM WAS CREATED FOR STUDENTS/KIDS TO HAVE FUN, LEARN ABOUT THEMSELVES AND THEIR CAPABILITIES AS WELL AS THE SPORT OF FOOTBALL.

I understand the information above, and my child has permission to play in the Flag Football.

Parent/Guardian Signature

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For questions contact the Arthur Community Park District at:

217-543-2294

Online registrations include a convenience fee to cover payment processing costs. Avoid this fee by paying in person at the Arthur Community Park District office with cash or check or by mail. Online fees are non-refundable.

In Arthur Park District(FF)$35

Out of Arthur Park District(FF)$45