Monroeville Flag Football

Monroeville Community Elementary Athletic Committee (M.C.E.A.C) will be offering flag football for boys and girls from kindergarten to 4th grade. This program will be divided into 2 divisions. (kindergarten and 1st grade) and (2nd, 3rd and 4th graders).

The registration fee is $20.00 ($30.00 after deadline) per child. Please have your child turn in this form along with the fee to Chris Gravenhorst in the Elementary

School or send to:

Monroeville Elementary School. Attn: Chris Gravenhorst, 101 West St. Monroeville, Ohio 44847. Please make check payable to: M.C.E.A.C. All children wishing to attend this program must be signed up by August 28TH so shirts can be ordered in time for the start of games. This program will begin with the first 2 weeks teaching the fundamentals and proper techniques of football. We will finish the season with games in a fun, team oriented atmosphere. The games will be held Saturday mornings beginning September 13th and ending October 18th. All practices and games will be held at Clark Park (behind the baseball fields).

COACHES WILL BE NEEDED FOR ALL AGE GROUPS. (WE WILL ENCOURAGE PARENTS TO HELP)

ALL CHILDREN ATTENDING MUST BE ACCOMPANIED BY AN ADULT THROUGHOUT EACH SESSION.

FOR ADDITIONAL INFORMATION, PLEASE CALL JASON KAMANN (419)706-6338

Please circle the group that you are signing your child up for based on his/her grade.

(Kindergarten and 1st grade) (2nd, 3rd and 4th grade)

Please circle shirt size: Youth (S, M, L, XL) Adult (S, M, L, XL)

Child’s Name__________________________________________ Grade______________ Male/Female

Address________________________________________________Phone______________________________ Parents Name________________________________Phone (H)__________________(C)__________________

Alternate Parent/Guardian______________________________Ph. (H)_______________(C)_______________

EMAIL_____________________________________________CAN YOU BE REACHED BY TEXT ( Y / N )

I agree that I will not hold the M.C.E.A.C. or the Village of Monroeville liable for any injuries incurred during activities my child is participating in. I assume all responsibility as a result of being permitted to participate in the program. I agree that a parent of the child listed above or an alternate parent/guardian will be attending every practice/game throughout this program.

Signature of Parent or Guardian___________________________________________Date________________________

****************PLEASE SIGN BELOW IF INTERESTED IN COACHING A TEAM******************** Name___________________________________________Phone (H)_______________________(C)_____________________ Address__________________________________________________Birth Date___/___/___Social Security#_______________ Head Coach_________ Assistant Coach_____________