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Simi Valley Bulldogs Football & Cheer

Coaching Application

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Football & Cheer Registration

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PLEASE COMPLETE THE FOLLOWING REGISTRATION PROCESS FOR EACH PLAYER

Player's Contact Details

Player's First Name

Player's Middle Initial

Player's Last Name

Primary Contact First Name

Primary Contact Last Name

Primary Email

Primary Phone

Secondary Email

Secondary Phone

Street Address

City

State

Zip

Emergency Contact Details

Emergency Contact First Name

Primary Phone

Emergency Contact Last Name

Office/Secondary Phone

Relationship To Player

ELECTRONIC SIGNATURE AUTHORIZATION

I authorize electronic signatures on this document to be live.

- Please Print for Your Records -

Contact Information

Football: info@simivalleybulldogs.com
Cheer: cheerdirector@simivalleybulldogs.com

The Simi Valley Bulldogs Organization is in compliance with CA AB-1 youth football bill

© 2023 by Simi Valley Bulldogs Football & Cheer

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