2015 Tackle Football Registration

RAAA Youth Tackle Football Registration

Cost to participate is $75.00 as well as a $25.00 Jersey fee. The Jerseys are the same as last season and are multi-year, which means they can be used as long as they fit as they are yours to keep. Deadline to register is August 13th. A $25.00 late fee will be assessed to all registrants beginning on August 14th. Participation in tackle football is grades 3rd – 6th.

2015 RAAA Football Registration Form

DIRECTIONS: Must use one form per player. Check proper grade level and registration type. Select appropriate shirt and pant size. Registration deadline is August 13th, 2015. Contact Ryan Johnson with any questions at football@rockfordball.com
  • Player Information

  • (as of 8/1/14)
  • Please list all allergies and special medical needs.
  • Player Registration

  • Parent/Guardian Information

  • Coach Information

    If you are interested in coaching, please fill out the following information and provide shirt size. Please fill out the coach application at http://www.rockfordball.com/coaches/ and include a copy of your current concussion training certificate.
  • Injury/Health Waiver

    I hereby give my permission for the above named child to participate in the Rockford Area Athletic Association ("RAAA") Tackle Football Program. By giving my consent, I realize that I am assuming all risks and dangers incidental to the sports of football, including specifically, (but not exclusively) the danger of being injured by tackles, thrown balls, collision between players and other objects, and all acts of God including storm, wind and lightning, and unsafe field conditions. Further, I agree that the Rockford School District and RAAA, its officers, directors, representatives, coaches, and officials shall not be liable for injuries or death resulting from such causes, and I hereby waive and release the Rockford School District and RAAA, its officers, directors, representatives, coaches, and officials from any and all claims or causes of action of any nature arising as a result of, or in connection with, my child's participation in the RAAA Tackle Football Program. I also warrant to RAAA that my child is physically able to participate in the sports of football and has adequate health insurance coverage. I understand that I will be solely responsible for all medical costs or expenses which may be incurred due to my child's participation in the RAAA Tackle Football Program.
  • By typing your name above, you agree to the above Injury/Health Waiver.
  • Photo Waiver

    DISCLAIMER: I am aware that still photos and videos of the above named child may be posted on the RAAA website and/or may be used in a variety of printed pieces (i.e. brochures, flyers, print ads, etc.). To protect the child's privacy, only first and last names may be published. Personal information such as birthdates, email addresses, home address and phone number will NOT be published. I have read this disclaimer and agree for my child's photograph and name to be used as described.
  • By typing your name above, you agree to the above Photo Waiver.
  • Payment Information

    Please select the payment option below for making payment for your registration.

    Credit Card/PayPal - You will automatically be directed to the payment screen to make your credit card payment. A PayPal account is NOT required to make payment via Credit Card.