Please provide the following contact information: 
All Fields with * are required minimum and form will reject if not completed.

*Parent First Name
*Parent Last Name
*Middle Initial
Spouse Name
*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
*Home Phone
Work  Phone
Cell or Other
E-mail
*Bellevue TN Resident	YES           NO           not applied in 2007 $10 additional out of City Fee will be assesses in future Leagues.
*Child's Full Name
*Date of Birth	mm/dd/yy     *Age as of Sept. 1st        Copy of Birth Certificate must accompany check or payment
*Sex	Male Female
Height	(ex: 5 ft 5 in)
Weight	lbs
FEE	$65 Per Child (Includes Official Reversable NFL Jersey, Flag Belt) also, includes 2 Jr. Footballs for each team.
COACH	Players will be assigned to coaches by league commissioner and coaches will notify parents concerning practices, and specifics.  If you are interested in coaching, contact league office ASAP to get registered as a possible coach.  Coaching is on volunteer basis and all coaches are required background check.
*Emergency Contact Phone #	Other than Parent should we be unable to contact Parent on record.
All the information above is accurate and I hereby agree that I authorize the league to complete the required online registration and waiver for my child once I am notified of the player fee amount and my fee is received in the League Office at 7405 Riverland Drive, Nashville, TN 37221.  I understand and agree that my child or children are not officially registered until said fee is received and I am officially notified by League Commissioner.  It is understood and agree that I waive any and all rights for suit and/or judgement toward the league Representatives, its Officials, Sponsors, Owners of Premises, or Co-Sponsors and League Supporters due to injury/death as a result of participation or while acting as a spectator of said events.