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Bulldog Football
2011 Signup Information
Signups will be open online starting April 15th. You must signup online this year, there will be no in person signups. To signup online go to www.sportabase.com
Price (July 1st, 2011 and before) $150
Price If you do not need a new Jersey (July 1st, 2011 and before) $100
Price (after July 1st, 2011) $200
Multi Kid Discount is $25 per kid
KINDERGARTEN ONLY FLAG FOOTBALL:
This year kindergarten kids who do not wish to participate in tackle football will have the option to play in a Flag Football league out of Owasso as an all Skiatook team. The parents who desire for there kids to play tackle will have that option and must sign up as a 1st grader.
FOOTBALL JERSEY SIZING
(REMEMBER WE THIS WILL BE THE LAST YEAR FOR THIS JERSEY)
YOUTH POUNDS
SMALL UP TO 55 LBS
MEDIUM 55-80LBS
LARGE 80-105LBS
XLARGE 105-130LBS
ADULT POUNDS
MEDIUM 130-155LBS
LARGE 155-175LBS
XLARGE 175-200LBS
THERE IS NOT A YOUTH XSMALL AND THERE IS NOT AN ADULT SMALL. USE THIS CHART TO GET AN IDEA OF WHAT YOU NEED.
PHYSICAL DATES:
July 14th
(Football will be able to purchase girdles, and mouth pieces)
SHS Coach Miller Youth Skills Camp/Combine $30 (includes t-shirt)
HELMETS, SHOULDER PADS WILL BE ISSUED TO EACH CAMPER
Monday July 18, Tuesday July 19 and Thursday July 21
SBFA is for 1st through 6th Grade. 1st and 2nd Grade are called Mighty Mights and play with  slighty modified rules to ensure saftey and the teaching of fundamentals. 3rd through 6th Grade play with the same rules as the High

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Today’s date: / /2011
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Registration Fee: $85.00
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Player INFORMATION
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Child’s last name:
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First:
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MI:
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Home phone: ( )
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Street address:
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City/State:
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ZIP:
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Birth date: / /
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Age:
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Sex: q M q F
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Father’s Name:
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Email:
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Cell Phone: ( ) -
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Mother’s Name:
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Email:
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Cell Phone: ( ) -
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Step Father’s:
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Email:
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Cell Phone: ( ) -
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Step Mother’s Name:
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Email:
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Cell Phone: ( ) -
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Jersey Size: (circle) xxs xs med lg xl xxl A-sm A-Med
*Your child will be able to use this jersey next year for tackle football*
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Jersey Numbers: (pick three or we pick for you)# # #
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INSURANCE INFORMATION
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Is the player currently covered with medical insurance:
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q Yes
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q No, however I give permission for my child to participate in all SBFA activities.
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If Yes, please list the Insurance Company Name:
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Policy #:
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Primary Care Physician:
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Do you agree to have a Physical Exam completed on the player prior to the first day of practice on August 1st?
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q Yes
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q No
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Participation Authorization and Release of Liability: I hereby represent and agree to the following: My child, named above, has my permission to participate in all SBFA sponsored or endorsed activities. The SBFA and its Board Members and Directors, Officers, Coaches, Coaching Staffs, agents and licensees are hereby released from any and all liability or responsibility for any injury that may occur to my child, to me, to my spouse and any of my other children resulting directly or indirectly from my child’s participation in SBFA activities including, but not necessarily limited to, league tournaments, practice games, practices, transportation to and from games and tournaments or otherwise and the use of practice facilities, games facilities, concession facilities or any other facility. I agree to pay in full and understand that registration fees are Non-Refundable.
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Patient/Guardian signature
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Date
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IN CASE OF EMERGENCY
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Name of local friend or relative (not living at same address):
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Relationship to patient:
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Home phone:
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Work/Cell phone:
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( )
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( )
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Authorization for Emergency Treatment: In the event of a medical emergency, I hereby authorize my child to be transported to the nearest emergency room/medical facility. I authorize the SBFA to secure the use of an ambulance for transporting my child and/or to administer first aid as necessary. I authorize any physician, surgeon or dentist to administer any emergency treatment procedure or medicine necessary or advisable. I agree to pay the hospital, doctors and ambulance fees for all services rendered to the above named child. I request that this authorization remain in force until the end of the calendar year, unless notified in writing of a change by me. This information is true to the best of my knowledge.
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Patient/Guardian signature
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Date
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SBFA Use Only
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Volunteer Taking Registration:
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Amount Paid: $
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Balance Due: $
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Draft Requested: q Yes q No
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Coach Requested:
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Special Requests:
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