2019 Registration Form WCRD Fall Registration Form. Please fill out one form per player per sport. Prticipant Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Age*Birthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleSchool*Guardian Name First Last Guardian Phone*Guardian Email* Interested in Coaching?*YesNoIF YES: Head Coach or Assistant Coach?Head CoachAssistant CoachNotes (No Coaches Requests)Fall Sports*Football 5-6Football 7-8Football 9-10Football 11-12Cheer 4-6Cheer 7-8Cheer 9-10Cheer 11-12Soccer 4-5Soccer 6-7Soccer 8-9Soccer 10-11$25.00 per sport + $2.00 Service FeeRaffle Ticket (Required)* Price: $5.00 Consent* The information in this form is correct and I give my Consent for this participant to play.-Must turn 4 before September 1st of 2019 for Cheer and Soccer -Must turn 5 before September 1st of 2019 for Football - Playing up must be approved by WCRDPayment* Once you click submit it will take you to payment using PayPal or Credit Card. Any registration that is not paid at time of submission will be deleted from entries. Thanks WCRDTotal $0.00
