NFL Flag Registration Form Printout     

First Name:* __________________________________________

Middle Name: __________________________________________

Last Name:*  __________________________________________

Gender:*     ____ Male                   ____ Female

Birthdate:*  __________________________ (Month/Day/Year)

Email:       __________________________________________

Day Phone:*  __________________________________________

Evening Phone:_________________________________________

Address Line 1:* ______________________________________

Address Line 2:  ______________________________________

City:*  _______________________________

State:* _______________________________

Zip:* _________________________________

League Name:* _________________________________________

Shirt size: ______________

 Please also printout and sign the Waiver form.

*Required fields.

Include Check or money order and send it to: