Freshman (5-6) $125.00    Sophomore (7-8) $175.00    Junior (9-10) $225.00    Senior (11-12) $225.00  

Player's Name (First, MI, Last):

Address:      Birth Date (MM/DD/YYYY):

City, Zip:      Age (as of July 31, 2008):     

Phone:                        Grade In Fall 2008: 

Subdivision:               School Attending 2008: 

Parent/Legal Guardian Information

Do you have Personal or Group Insurance? Yes  No  (If yes, then complete the following)

Name of Insurance Company: 

Name of Insured: 

Please list all pertinent medical information, physical limitations, problems or special needs:

Emergency contact (other than parents):

Phone #:              Relationship: 

Previous Season Data:

Did player participate in KFL last season?  Yes  No      If yes, what team?

If remaining in the same division, does the player want to stay on the same team? 

Yes  No

Sibling participant Name:   Age   Football  Cheerleading

Second Sibling participant Name:   Age   Football Cheerleading

*Important:

In order to guarantee that your order is linked to your payment, please provide the following information:

Name on credit card used for payment

*Please submit a form for each player participating in the 2008 season.