Blue Water Catholic Cardinals

2014 CYO Tackle Football Registration Form

Please complete the following information regarding the student who will be playing tackle football for the Blue Water Catholic Cardinal’s CYO football team in the FALL of 2014.

Please return this form along with the $150.00 fee to Cardinal Mooney High School attention: KELLY LORIA

Student Name:______DOB:______Grade(Sept. 2014)______

Address:______

Parent/Guardian Name:______Home Phone:______

Mom/Guardian Cell & email:______

Dad/Guardian Cell & email:______

To be eligible the player must attend school or faith formation at one of the following (please circle the one that applies to your son/daughter).

Schools

St. Augustine Holy Cross St. Mary McCormick St. Mary St. Clair Immaculate Conception

Faith Formation

St. Augustine Our Lady on the River St. Mary Queen of Peace Holy Family St. Christopher

St. Mary St. Clair St. Mary Port Huron Immaculate Conception St. Edward on the Lake

I, the undersigned parent/guardian of the above named student, hereby:

  1. Authorize and permit the above named player to participate in practices and games under the guidelines and within the expectations of Blue Water Catholic Cardinals CYO in the 2014 season.
  2. The player shall not play in the same sport for another league or team while playing for the CYO.
  3. The player will have received a completed athletic physical and have it on file prior to any activity.
  4. State that the above named whose 15th birthday falls on or after September 1st of the 2014 school year is eligible to play for the balance of the school year; however they cannot be enrolled in a grade higher than 8th.
  5. I understand that at least one parent/guardian is obligated to actively assist the Blue Water Catholic Cardinals Athletic Booster Club with fundraising activities as well as assist at home games during the 2014 season.

Parent/Guardian Signature:______Date:______

Please make checks out to Cardinal Mooney High School – ATTENTION: Kelly Loria

Cardinal Mooney Catholic High School

660 S. Water Street

Marine City, Michigan 48309

For questions please contact:

Athletic Director, Kelly Loria (810) 765-8825 Ex. 24

Or

Head Coach, Mark Mallia (810) 765-8825 Ex. 11