| WILLOUGHBY HILLS TACKLE FOOTBALL SIGN-UP FORM
Practice begins on July 30. Players will be notified one week before hand.
Birth Certificate and $85.00 Fee (checks payable to WHBL) due on July 30.
A physical is not required by the WHBL...but it is recommended.
{ } "A" TACKLE TEAM { } "B" TACKLE TEAM
9-10-11-12 year olds 7-8-9-10 year olds
Must be 9 on or before August 1st. Must be 7 on or before August 1st.
Cannot be 12 on or before June 1st. Cannot be 10 on or before June 1st.
140 lb. Weight Limit (Equipped) 125 lb. Weight Limit (Equipped)
Player Name:_______________________________________________________________
DOB: _______ / _______ / ________ Age: __________ Weight: __________
Parent Name(s): ______________________________________________________
Address: _____________________________________________________________
City: _____________________________________ Zip Code: ________________
Phone Number: ________________ Emergency Number: _________________
Email Address: ______________________________________________________
Any Questions: Contact Tom Horwatt @ 440.951.6053
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