User account

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Personal Information

Child Name: *

Age: *

School Grade: *

Guardian Name: *

Phone Number: *

Full Address: *

What position does your child play?: *

Has your athlete attended any 9th grade classes?: *

Child Health Concerns: *

Emergency Contact: *

(If we are unable to reach you)

Emergency Phone Number: *

Emergency Contact Relationship to Child: *

How did you hear about Sports Mechanix?: *

*Choose One:
1. Youth Football League (***please list district or organization)
2. Google
3. Other Internet Search (please list Search Provider; Example: Bing)
4. Friend Referral (please list friend's name for credit)
5. Flyer at a Sports Mechanix Event (**please list event)
6. Flyer at a Park (**please list park)
7. Sports Mechanix Email
8. Billboard
9. Sports Mechanix Van
10. Email from City Rec (**please list City Rec Department)

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Sports Mechanix Mailing Address