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Childs first & last name
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Each parents first & last name (mom, dad, guardian, step-parent)
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Home phone # (s)
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Home address (es)
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Each parent/guardian’s cell phone # (or pager)
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Each parent/guardian’s work phone #
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Player/youth’s cell phone #
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Each parent/guardian’s e-mail address(es)
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Player/youth’s e-mail address
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Date of birth
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Uniform size
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Allergies
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Health concerns
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Medical issues
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Health insurance provider name, phone #, policy #, group #
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Physician’s name, phone #, address
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Dentist’s name, phone #, address
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Who is your child authorized to ride with
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What dates will you be missing practices
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What dates will you be missing games
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Emergency contact name, relationship, address, home/cell/work phone #
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School name, address, phone #
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How can parent help, volunteer assignment fill
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Equipment parent is willing to donate, lend, bring
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If parent would like to help coach
