Bishop McNally/Father Lacombe Football
Football Registration

Please fill out the information below and follow the instructions below.

Last Name:       First Name:  

Address:       
City:                   Province:      
Postal Code:                                   
Home Phone:         

Grade:          

Football Background

Have you ever played before? Yes  No         Team:        

Height:                 Weight:       

Desired Position:

Team I am registering for: Senior     Junior

Previous Injury: (sprains, strains, fractures, torn muscles, ligament injuries, dislocations)
Yes  No

If yes, please describe:

Medical Conditions: (asthma, diabetes, other)

Medications:

Alberta Health Card Number:  

Family Physician:   
Phone Number: