2008 CVL On-Line Registration Form

Registration for our Tiny Mite (ages 5 & 6) and Mitey Mite (ages 7 & 8) Football Teams have been closed due to full rosters. If you would like to place your child on the wait list, please complete the online registration, but DO NOT SEND PAYMENT at this time. Someone will contact you if a spot becomes available. Please contact Mike Mitchell, Tiny Mite Coach, at (408) 460-3938, or Tanya Tehada, Mitey Mite Team Coordinator, at (408) 306-5703, if you have any questions. Thank you.

Cambrian Valley now offers On-Line registration for Football and Cheer participants. Our NEW On-Line registration form's and procedure is for a maximum of two registrants only. If you would like to sign-up three registrants for Cambrian Valley Youth Football and Cheer, please contact us here.

Registration Fee Structure:
* 1st Player - $250.00
* $25.00 discount for 2nd child from same family
*$50.00 discount each additional child from the same family

Welcome to step 1 of 3 of our On-Line registration process. Fields with a red asterisk * are required fields to process all our On-Line forms successfully.

Please Note: A registration processing fee will be attached your registration. The fee is $10.00.

(PLAYER 1) Last Name: *
First Name: *
Middle Name:
Is this your legal name?	Yes No
If not, what is your legal name?
Date of Birth: *
Age as of 8/1/2008: *
Gender: *	Male Female
Team: *	Football Cheer
Weight:
Division Played in 2007:	TM MM JP PW JM MD N/A
Street Address: *
City: *
Zip: *
School: *
(PLAYER 2) Last Name:
First Name:
Middle Name:
Is this your legal name?	Yes No
If not, what is your legal name?
Date of Birth:
Age as of 8/1/2008:
Gender:	Male Female
Team:	Football Cheer
Weight:
Division Played in 2007:	TM MM JP PW JM MD N/A
Street Address:
City:
Zip:
School:
(PARENT/GUARDIAN 1) Last Name: *
First Name: *
Relationship: *	Father Mother Other
Primary Guardian: *	Yes No
If you chose Other:
Street Address: *
City: *
State: *
Zip: *
Home Phone Number: *
Mobile Phone Number:
Employer:
Occupation:
Employee Phone Number:
(PARENT/GUARDIAN 2) Last Name:
First Name:
Relationship:	Mother Father Other
Primary Guardian:	Yes No
If you chose Other:
Street Address:
City:
State:
Zip:
Home Phone Number:
Mobile Phone Number:
Employer:
Occupation:
Employer Phone Number:
Emergency Contact:
Relationship:
Phone Number:
Doctor:
Doctor Phone Number:
Medical Insurance:
Policy Number:
Group Number:
E-mail Address: *
Todays Date: *
Parent/Guardian Signature: *
E-mail Address 2:
I verify all information entered above is true and accurate: *	Yes No


* Required

After completing our On-Line registration form, you will be redirected to our 2008 Parental Consent and Policies section. This form must also be completed to continue with the On-Line registration process.