Terre Haute Boys & Girls Club Youth Tackle Football League : Our Sports : Sports : Terre Haute Boys & Girls Club

Register Now - July 3rd!!!

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2023 TERRE HAUTE BOYS & GIRLS CLUB YOUTH TACKLE FOOTBALL - GRADES 1st - 8th-- Fee $125---Registration ends July 3rd

Fee includes concussion baseline test, helmet, shoulder pads, pants and a jersey (players get to keep the jersey). A trainer will be at every game.

HOME GAMES WILL BE PLAYED AT BOYS & GIRLS CLUB PARK------3101 8th Ave, Terre Haute, IN 47804.

TENTATIVE SCHEDULE: Equipment handout: July 8th - 9th--- Jamboree: Aug. 12th--- League begins week of Aug. 14th

REGISTER BELOW COACH INFORMATION

COACH INFORMATION:

July 7th – Background check deadlines
Coaches and individuals that may assist with practices must pay for and pass a background check through Terre Haute Boys & Girls Club.
No coach can participate until the completion and approval of a background check.
July 15th – the USA Heads Up Football Certification deadline for all Coaches Options:
Pay for and complete the online USA Heads Up Football Youth Coach Certification- Heads Up Certification Training
No one can coach until the completion and submission of certification to the THBGC.

I have read the completed application and understand the rules of the Terre Haute Boys & Girls Club. I will not hold the Terre Haute Boys & Girls Club, its Board of Directors, and/or Indiana State University Physical Therapy responsible for any accidents on the premises while engaging in this activity.

I give consent for photographs & video in which my child may appear, to be used by the Terre Haute Boys & Girls Club.

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Player's Name

First Name *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone (Required)

School Fall 2023 (Required)

Grade Fall 2023 (Required)

Date of Birth (Required)

Gender (Required)

Age as of 8/1/2023 (Required)

Height (Required)

Weight (Required)

Jersey Size (Required)

Pant Size (Required)

Jersey Number Request = May list 3 choices

Would You Like To Coach (Required)

Parent/Guardian #1

First Name *

Last Name *

Parent/Guardian Contact Phone (Required)

Parent/Guardian Email (Required)

Parent/Guardian #2

First Name *

Last Name *

Parent/Guardian Contact Phone (Required)

Parent/Guardian Email

Medical Condition (Required)

Please explain Medical Condition

I have read the completed application, understand the rules of the Terre Haute Boys & Girls Club and request that my child be admitted to membership. I will not hold the Terre Haute Boys & Girls Club, its Board of Directors, and/or Indiana State University Physical Therapy responsible for any accidents on the premises while engaging in this activity.

I give consent for photographs & video in which my child may appear, to be used by the Terre Haute Boys & Girls Club.

Electronic Signature of Parent or Guardian (Required)

Date

Month

Day

Year

Email Address for Confirmation of Submission (Required)

Online Tackle Football Program Cost

$5 online registration processing fee.

130.00

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Terre Haute Boys & Girls Club Youth Football

Our Sports

Register Now - July 3rd!!!