Youth Football Registration Form – Athletic Performance Ranch

Student/Participant Information

First Name (required)

Middle Name

Last Name (required)

Preferred Name

Date of Birth (required; example: 2000-04-28)

Male or Female? (required)

Grade (required)

Email (required)

Phone Number (required)

I agree to allow APRanch to use this number for text notifications (standard rates may apply).

Address (required)

City (required)

State (required)

County (required)

Zip Code (required)

Parent/Guardian Contact Information

First Name (required)

Last Name (required)

Relationship (required)

Home Phone

Mobile Phone

Email (required)

Occupation

Work Phone

Emergency Contact Information*

* Must be different from parent/guardian above

First Name (required)

Last Name (required)

Relationship (required)

Home Phone

Mobile Phone

Doctor/Pediatrician Contact Information

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

County (required)

Zip Code (required)

Phone (required)

School Information

School Name (required)

Other School Name

Address (required)

City (required)

State (required)

Zip Code (required)

Coach’s Contact Information

First Name (required)

Last Name (required)

Phone (required)

Email (required)

Athlete Information

Height (required):

Weight (required)

Primary Sport (required)

Primary Sport

Secondary Sport

Other Secondary Sport

Shirt Size (required)

Pant Size (required)

Shoe Size

Preferred Spike Size

Stats/Performance

Stats (required)
Enter your stats and performance information here ...

Injuries
Enter your injury history here ...

Academic Information

SAT

Math

Verbal

ACT

GPA

Graduating Class (required)

Class Rank

Registered with NCAA Eligibility Center?

College Preference

Intended Major

Honors/Recognition/Activities