…Ralston
JR. Rams Football League...
Established 1968
Registration Form
______________________________________________________
Player’s Name __
Last:____________________________ First:___________________________MI _____________
Birth Date__________________________ Age as of June 1, 201__
_________________________
(must be less than 15 as of this date)
School: _____________________________ Grade entering: ________ (if 7th or 8th, must have school schedule)
High School Player anticipated to Attend: __________________________________________________
* Weight (approx.)
# of Yrs played
Where did you play last year?
Parent Information:
Parent Name: ___________________________________________________________________
Parent Cell: _________________________Parent Email: ________________________________
Address:________________________________City______________State______Zip___________
Parent Name: ___________________________________________________________________
Parent Cell: _________________________Parent Email: ________________________________
Address:________________________________City______________State______Zip___________
Guardian Name and Phone number _______________________________ # ___________________________
Emergency Contact Name and Phone number _______________________________ # ___________________________
Parents/Guardian Consent:
Player’s Printed Name:___________________________________________
Having been informed of the organization of the Ralston All American Football League, Inc., to provide supervised football for
children, I, the parent/guardian of the above named candidate, do hereby give my approval to his/her participation in any and all of the
activities during the current season, I do assume all the risk and hazards incidental to the conduct of the activities, transportation to and
from activities, and I do further release, absolve, indemnify and hold harmless the Ralston All American Football League Inc., the City
of Ralston, Nebraska and the Ralston School District #54, the coaches, organizers, sponsors or any supervisor appointed by them.
I, the undersigned, hereby declare the above names child is in excellent physical condition and has no known physical or mental defects
of deformities that would prevent the said child from participating in normal football activities.
Signature of Parent/Guardian ____________________________________ Date: ____/____/____
Printed Name of Parent/Guardian_________________________________
Amount Paid
$__________________
Cash ____CK # ___
Make CKS payable to:
Ralston All American
Football