Flag Football/Las Cruces Registration & Payment Plan

Account Holders Name *

First

Last

Relationship to Player *

Primary Email *

Secondary Email

Optional

Phone Number *

Secondary Phone Number

Optional

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Would you like to be a parent volunteer coach

YES
NO

Parent volunteers can ASSIST our student-athletes and HELP them in their role as the Head Coach.

Players Name *

First

Last

Gender *

Players Information

Players Age in April of 2025 *

Players Information

Date of Birth

Players School Attending for the 2024/2025 School Year

Players Information

Players Jersey Size *

STOP! PLEASE double check the jersey size you have selected for your child. This is the size they will receive and there are NO RETURNS OR EXCHANGES.

Players name to be displayed on back of Jersey *

STOP! PLEASE double check the spelling given for your players name to be displayed. This is the name they will receive. NO RETURNS OR EXCHANGES.

Players Jersey # Request

If no number is selected one will be selected for your player.

Players Grade Level for the 2024/2025 School Year *

Each player will play in their designated grade level and will not be allowed to play down to any grade level.

Player would like to play up a grade/division to:

Optional

Teammate Request

Yes
No

These are requests only and are not guaranteed. Request priority will be based your date of registration.

Teammate Request #1

Name of requested player

Teammate Request #2

Name of requested player

How did you hear about us? *

REFUND POLICY

Name and Likeness Waiver

Code of Conduct Waiver

I have read and agree to all the above *

YES

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

Type name for Electronic Signature *