REGISTRATION

Fall 2020 Registration for the Hanover Warriors Youth Football League*

* This is a registration form for the 2020 Fall season. - 13U Only

* Indicates required field

Player First Name *

Player Last Name: *

Gender *

Male Female

Player Date of Birth (MM/DD/YYYY) *

13U- Age as of 7/31/2020 *

13U (13 years old as of 7/31/2020) Date of birth 8/1/2006 - 7/31/2007

Home Mailing Street Address *

City/County, VA *

Zip Code *

School where Player attends: *

Primary Contact Name *

Secondary Contact Name *

Primary Mobile Phone Number: *

Secondary Mobile Phone Number: *

Primary email Address: *

Primary Home Phone Number: *

Primary Work Number: *

Secondary email Address: *

Secondary Home Phone Number: *

Secondary Work Number: *

Primary Work email: *

Secondary Work email: *

Medical Condition or Medication: *

Yes No

If you indicated YES that there was any Medical Condition or Medications being taken please describe below: *

Submit