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Registration

Register Your Player

Complete the form below. All fields help keep our athletes safe and ready to compete.

Player Information

First Name

Last Name

Preferred Name / Nickname

Date of Birth

Current Age

Player Position

Preferred Jersey Number

Uniform Size

Program

Parent / Guardian

Full Name

Phone

Email

Relationship

Emergency Contact

Contact Name

Contact Phone

Medical Information

Allergies / Conditions

Insurance Provider

Agreements

Review each document on the Parent Resources page, then confirm below.

I have read and accept the Liability WaiverI have read and accept the Medical Treatment AuthorizationI have read and accept the Player Code of ConductI have read and accept the Parent Code of ConductI have read and accept the Concussion AcknowledgementI have read and accept the Heat Illness AcknowledgementI have read and accept the Photo / Media Release

Registration Payment

$75participation fee

Team shirt provided with registration.

Jersey Upgrade (optional)

Add Extra Programs (+$25 each)

Programs are not included with the participation fee.

Recreational LeagueBig Brother ProgramCompetitive LeagueTravel TeamPerformance TrainingSpeed & AgilityPrivate Skills

Payment Option

Total due$75

Participation fee$75

Choose Pay Online (Card) to pay securely by card right after submitting. For Tap to Pay, Cash, or Apple Pay, Jay Styeen will follow up to arrange payment.

Professional youth flag football development. Built on character, discipline, teamwork & leadership.

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Contact

Jay Styeen — Founder
Central Florida — Moss Park, FL
Travel teams across the United States
@offthechain_llc
(786) 643-1626
jaystyeen@gmail.com

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