Leander Cedar Park Pop Warner League

FOOTBALL COMBINE SIGNUP

To register for the Football Combine, please complete the registration form below, then continue on to the PayPal checkout page to pay the required $80.00.

Please complete the following form:

*Player Name:

Player Gender:

*Player Birthdate:

/ /

Player Grade:

AGE

Height:

Weight:

*Address:

*City:

*State:

Zip Code:

*Home Phone:

Work/Other Phone:

*Parent/Guardian(s) Name:

*Parent E-mail:

Previous Participant:

Yes No

If Yes What Year and Session:

Year Session

Referred by:

2. Basketball/Football Experience:

*Position Played:
*Current School:
School Coach’s Name:
School Coach’s Phone Number :
(Please check all that apply):
Middle School:
Freshman:
Sophomore:
Jr. Varsity:
Varsity:
Travel/Club Team:
Other:
If part of Travel/Club Team:
Travel Team Name:
Coach's Name:
Phone Number:
*How would you rate your football* skills and abilities?**
Please provide T-Shirt size

3. Authorize and Submit:

*(required)

RELEASE: I hereby authorize the directors of Texas Recruit to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release Texas Recruit and their staff from any and all liability. I know of no mental or physical problem or problems that may affect my child’s ability to safely participate in this camp. No application will be accepted without a parent/guardian signature.

I authorize Texas Recruit to bill my credit card for the services ordered above. I understand that camp deposits, registration fees and event fees are non-refundable.

Any comments or questions?