PEEWEE REGISTRATION 2022 FALL SEASON PEE WEE DIVISIONPLAYER INFORMATIONPlayer First Name *Last NamePhone *Birthdate *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922Street Address *Apartment, suite, etcCity *Province *Postal Code *Parent Email Address *Age *Grade *School *Health Card # *Health Card Province *AlbertaSaskatchewanHeight (inches) *Weight (lbs) *Name of Team played for last seasonParental PermissionI grant permission for my child to become a member of theLloydminster Minor Football Association and to participate fully in the activities. Please type name, sign and date below.Parent First Name *Parent Last Name *PaymentFall Registration fees - PEEWEE Division - $300Registration Options($350) I played in the spring and paid $100($450) I only want to play in the fall leagueChoose the registration that appliesCredit / Debit Card *FALL PEE WEE REGISTRATION - $450 TotalParent Signature *Start signing your signature hereYour browser does not support e-Signature field.How did you hear about registration? *FacebookInstagramNewspaperRadioWord of MouthOther Send MessagePlease do not fill in this field.
