2025 Flag Football and Cheer Registration
Clinic Aug 6 & 7, Season Aug 25 -Oct 11th | 2025 Flag Football and Cheer Registraion
Particpant (first name)
*
Particpant (last name)
*
Date of birth
*
Gender
*
Please select one option.
Male
Female
Grade entering fall of 2025
School
Church (if you regularly attend)
Parent/Guardian Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Parent/Guardian Phone
*
Emergency Contact Name
*
Emergency Contact Phone (different from Parent/Guardian #)
*
Sport
*
Please select all that apply.
Flag Football
Cheer
Shirt size
*
Please select one option.
YXS
YS
YM
YL
AS
AM
AL
Bottom size
*
Please select one option.
YXS
YS
YM
YL
AS
AM
AL
Name on back of Jersey (Football ONLY)
Athelets must attend at least 1 of the 2 evening Clincs on Aug 6 or 7
*
Please select one option.
Athlete will attend both Clinics on Aug 6 & 7
Athelet will attend clinic on Aug 6
Athelet will attend clinic on Aug 7
Payment ($90 before 7.15.25, $100 after 7.15.25) Mail or drop off check/cash to Dryden Wesleyan Church, 5274 Main Street, Dryden, MI 48428
*
Please select one option.
Cash
Check
Online payment
Select online Payment option (make sure you select $0 for Cash or Check payments to complete your registration)
Before 7.15.25 ($90.00)
After 7.15.25 ($100)
Cash or Check ($0)
Before 7.15.25 ($90.00)
After 7.15.25 ($100)
Cash or Check ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Clinic Aug 6 & 7, Season Aug 25 -Oct 11th
2025 Flag Football and Cheer Registraion
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