TITANS YOUTH FOOTBALL LEAGUE
2017
Youth Tackle Football Registration
Registrations will be accepted until June 30th
To be eligible for the below leagues a parent must accompany the registrant and a birth certificate
must be presented if one is not on file at the Brook Park Recreation Center. All Players must register on or before June 30th.
Players who do not will be placed on the waiting list. Players may Practice in Brook Park, Berea or Middleburg Hts.
Some travel to Strongsville and Parma will be required.
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Check ONE League only:
______Boys Pee Wee Tackle (7-8 yr, old) Cannot be 9 years old on or before Sept. 1st
______Boys Junior Varsity Tackle (9-10 yr, old) Cannot be 11 years old on or before Sept. 1st
______Boys Varsity Tackle (11-12 yr, old) Cannot be 13 years old on or before Sept. 1st
Players must be present at time of Registration
for Weigh-In
PLEASE CIRCLE PANT SIZE: YS YM YL YXL AS AM AL AXL
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Please Print Clearly
Name ______Age (as of Sept. 1) ______Grade (2017-2018)______
Address ______City ______Zip ______Birthday ______
Phone # (Home) ______(Work) ______
Parents Name (Father) ______(Mother) ______
Is there any Medical Conditions that we should be aware of : ______
Brook Park Resident: $55
Non Residents- $65 (must NOT be residents of Strongsville, Parma or Columbia)
New Players
Do you have a brother who played on a team last year and is returning to that same team this year?
Name ______Team ______
If you are entering the Tackle League for the first time you must attend our Skills Session which is scheduled on separate flyer with the football registration form… take the flyer home with you as a reminder. (Pre-registration required)
Returning Players
If you played in the Tackle League last year and will play in the same league this year,
which team did you finish the season with? ______
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I/We, the undersigned, do hereby give approval for the above named to participate in the Tri-City Football leagues; agree to assume all risks and hazards whole participating in a scheduled practice or game, including transportation to and from all activities; agree that neither the Cities Of Brook Park, Middleburg Hts, Berea Recreation Department, their agents or officers nor any person or organization connected with this activity will any way be held responsible or liable for any injuries or medical expenses that may be sustained; agree and state that the above named is covered by a hospital/medical plan.
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(Parent/Guardian Signature) Date
For Office Use Only
Date ______Weight ______Emp. Initial ______Receipt # ______BC Verified ______