READING YOUTH SPORTS
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Reading Youth Football Registrations 2023

Step 1 of 4
Registrant Information

Registrant's First Name:

Registrant's Last Name:

Registrant's Birthdate:

Registrant's Gender: Male   Female

Program: 

Registrant's School: 

Medical or Physical Conditions:Please let us know if the registrant has any medical or physical issues that we should be aware of (leave blank otherwise)

Grade as of Aug 2023: 

Emergency Contact: 

Emergency Phone Number: xxx-xxx-xxxx

Contact Information

Parent/Guardian #1 First Name:

Parent/Guardian #1 Last Name:

Street:

City:

State:

Zip/Postal Code:

Home Phone: xxx-xxx-xxxx

Mobile Phone: xxx-xxx-xxxx

Mobile Phone Carrier: Used to send you text messages

I permit Reading Youth Sports to send SMS messages to this mobile phone.

Primary Email Address: 

Parent/Guardian #2 First Name:

Parent/Guardian #2 Last Name:

Enter different contact information for this Parent/Guardian

Create Your Password:

Please create a password to make it easier to register and update your contact information with Reading Youth Sports. 6-12 characters. Letters and numbers only, no spaces. Show Password

Set this password as the universal password for this member and for all other registrants in your household.