Capital Area Minor Football Association - 2017 Registration Form

To register, enter the required information below.

* Required fields
* First Name of Player:
* Surname of Player:
Address:
* Street:
* City, Town or Village:
* Province:
* Postal Code:
* Contact Phone Number:
* Email:
* School:
* Grade:
* Date of Birth: (yyyy/mm/dd)
* Age:
* Weight:
* Height: (ft) (inches)
* Program / Option: [?]
Spring Summer Fall Winter
U12 Tackle-$120
U14 Tackle-$120
U16 Tackle-$120
Western Valley-$30
Men's Tackle-$200
Women's Tackle-$180
Co-ed Flag-$30
Football Camp-$99
Bantam Tackle-$180
Middle Level Tackle-$180
Atom Tackle-$180
Squirt Flag-$120
Mite Flag-$120
Girls Tackle-$100
Western Valley-$80
Tiny Tykes-$60
No Programs at this time
Total Fees
  Other Sports Played:
* Area of Residence
Lincoln Geary Woodstock Road Barkers Point
Southwood Park Silverwood New Maryland Nashwaaksis
Skyline Acres Burton Marysville Oromocto
City Centre Hanwell Road Devon Other:
* Adult T-Shirt Size
Small Medium Large XL XXL
Medical History: Please indicate problems such as allergies etc. that would affect the treatment of injuries:
* Do you have health insurance that covers sports injury related costs (Ambulance, Physiotherapy, etc.)? Yes No
* Have any of the player's relatives ever played organized tackle football? Yes No
* How were you made aware of CAMFA programs?
In the event of medical emergency and I am unavailable, I give my consent for whatever procedures are necessary by qualified medical staff. I understand that by the nature of the game of Football injuries may occur. I hereby agree not to hold C.A.M.F.A. and any of its officers or coaches responsible for the said injuries. I give permission to use photos of my child or their team on the C.A.M.F.A. website. I understand that no names will be published with pictures. I am aware that all teams are operated by C.A.M.F.A. and not by the schools that the children attend. I understand that C.A.M.F.A. assumes all liability and that the schools involvement is only promotional. I agree to abide by C.A.M.F.A's refund policy.

TYPING IN YOUR NAME AND ELECTRONICALLY SENDING THIS FORM CONSTITUTES YOUR ELECTRONIC SIGNATURE.
* Signature (parent or guardian) * Date (yyyy/mm/dd)
  Father's Phone No.(Home)   Father's Phone No. (Cell)
  Mother's Phone No. (Home)   Mother's Phone No. (Cell)
  I am prepared to assist as:
Coach Manager Official Minor Official Other:


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