Participant Name *

Age *

Date of Birth *

Grade Fall of 2026 *

Shirt Size *

Does your child have any medical condition or allergies? *YesNo

Please list any medical conditions or allergies. *

Parent/Guardian 1

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal code *

Phone *

Cell Phone

Work Phone

Email Address *

Parent/Guardian 2

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Phone

Cell Phone

Work Phone

Email Address

Parent/Guardian 3

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Phone

Cell Phone

Work Phone

Email Address

Photo Release *Please select Yes or No if your child's photo may be used by the Florence township in website/social media postings that are available to be viewed.YesNo

Submit

Participant Name *

Age *

Date of Birth *

Grade Fall of 2026 *

Shirt Size *

Does your child have any medical condition or allergies? *YesNo

Please list any medical conditions or allergies. *

Parent/Guardian 1

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal code *

Phone *

Cell Phone

Work Phone

Email Address *

Parent/Guardian 2

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Phone

Cell Phone

Work Phone

Email Address

Parent/Guardian 3

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Phone

Cell Phone

Work Phone

Email Address

Photo Release *Please select Yes or No if your child's photo may be used by the Florence township in website/social media postings that are available to be viewed.YesNo

Submit