Home Address
First Athlete (if you have more than one athlete, you will be able to enter their info later in this form)
Which sport are you registering for?
General Registration (This will add you to our email list and we will update you when a certain sport is open for registration)
Flag Football
Little Game Changers (Ages 3-5)
What is your child’s disability?
Autism
Sensory Disorder
Down Syndrome
Cerebral Palsy
Genetic Disorder
Other:
Child's Birthday
MM
/
DD
/
YYYY
Grade
Not in School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Kindergarten
Is it their first time playing a team sport?
Yes
No
What behaviors (or tendencies) does your child have? (select all that apply)
Runner
Aggressive toward others
Self-Injurious
Foul language
Verbal outbursts
None
Other:
How often your child exhibits these behaviors? (select all that apply)
Multiple times a day
1-2 times a day
Multiple times a week
Once a week
Never
Other:
Where do these behaviors occur? (select all that apply)
Home
School
Church
Indoor places
Parks
None
Other:
Will your child need a 1 on 1 assistance? (Volunteers are based on this question, if your child needs extra assistance please let us know ie. behavior, physical, emotional etc)
Yes
No
Jersey Size
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Youth Small
Rate your child's skill level
Kids will be separated first by age then ability to ensure each session we are providing appropriate drills to push kids to their fullest potential. Date and Time are TBD.
Competitive - Child needs very little to no assistance. Normally likes to be competitive. Physically does not need assistance. Kids will compete against each other through other ways avoiding contact (Timing, throwing/kicking accuracy) for example.
Moderate - Child needs some assistance, reminders, encouragement. Not yet competitive but eager to learn. May be fast but has a hard time following directions where a volunteer can help assist.
Development - Needs a 1:1 Personal Coach (physical help, reminders, guidance, encouragement) drills will be slowed down and modified to appropriate level. This is giving kids in this group the opportunity to be active in a safe environment.
Do you have any other athletes to register?
Yes
No
Second Athlete
Which sport are you registering for?
General Registration (This will add you to our email list and we will update you when a certain sport is open for registration)
Flag Football
Little Game Changers (Ages 3-5)
Copy of What is your child’s disability?
Autism
Sensory Disorder
Down Syndrome
Cerebral Palsy
Genetic Disorder
Other:
Grade
Not in School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Kindergarten
Is it their first time playing a team sport?
Yes
No
What behaviors (or tendencies) does your child have? (select all that apply)
Runner
Aggressive toward others
Self-Injurious
Foul language
Verbal outbursts
None
Other:
How often your child exhibits these behaviors? (select all that apply)
Multiple times a day
1-2 times a day
Multiple times a week
Once a week
Never
Other:
Where do these behaviors occur? (select all that apply)
Home
School
Church
Indoor places
Parks
None
Other:
Will your child need a 1 on 1 assistance? (Volunteers are based on this question, if your child needs extra assistance please let us know ie. behavior, physical, emotional etc)
Yes
No
Jersey Size
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Youth Small
What session will your child be participating in?
Kids will be separated first by age then ability to ensure each session we are providing appropriate drills to push kids to their fullest potential. Date and Time are TBD.
Competitive - Child needs very little to no assistance. Normally likes to be competitive. Physically does not need assistance. Kids will compete against each other through other ways avoiding contact (Timing, throwing/kicking accuracy) for example.
Moderate - Child needs some assistance, reminders, encouragement. Not yet competitive but eager to learn. May be fast but has a hard time following directions where a volunteer can help assist.
Development - Needs a 1:1 Personal Coach (physical help, reminders, guidance, encouragement) drills will be slowed down and modified to appropriate level. This is giving kids in this group the opportunity to be active in a safe environment.
Do you have any other athletes to register?
Yes
No
Third Athlete
Which sport are you registering for?
General Registration (This will add you to our email list and we will update you when a certain sport is open for registration)
Flag Football
Little Game Changers (Ages 3-5)
Copy of Copy of What is your child’s disability?
Autism
Sensory Disorder
Down Syndrome
Cerebral Palsy
Genetic Disorder
Other:
Grade
Not in School
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Kindergarten
What behaviors (or tendencies) does your child have? (select all that apply)
Runner
Aggressive toward others
Self-Injurious
Foul language
Verbal outbursts
None
Other:
How often your child exhibits these behaviors? (select all that apply)
Multiple times a day
1-2 times a day
Multiple times a week
Once a week
New Choice
Other:
Where do these behaviors occur? (select all that apply)
Home
School
Church
Indoor places
Parks
None
Other:
Is it their first time playing a team sport?
Yes
No
Will your child need a 1 on 1 assistance? (Volunteers are based on this question, if your child needs extra assistance please let us know ie. behavior, physical, emotional etc)
Yes
No
Jersey Size
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Youth Small
What session will your child be participating in?
Kids will be separated first by age then ability to ensure each session we are providing appropriate drills to push kids to their fullest potential. Date and Time are TBD.
Competitive - Child needs very little to no assistance. Normally likes to be competitive. Physically does not need assistance. Kids will compete against each other through other ways avoiding contact (Timing, throwing/kicking accuracy) for example.
Moderate - Child needs some assistance, reminders, encouragement. Not yet competitive but eager to learn. May be fast but has a hard time following directions where a volunteer can help assist.
Development - Needs a 1:1 Personal Coach (physical help, reminders, guidance, encouragement) drills will be slowed down and modified to appropriate level. This is giving kids in this group the opportunity to be active in a safe environment.
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