2021 Registration Form

Friday, July 30, 2021
6:00-8:00 p.m.
P-CEP Varsity Football Field
8415 Canton Center Road - Canton, Michigan
Cost: FREE!

The information you provide on the registration form will help us get to know your son or daughter so that we can provide the best individualized instruction. Provide as much or as little detail as you would like. Questions with an asterisk require a response. There is no cost to attend the football clinic.

Please complete the 2021 Registration Form below.

* Indicates required field

1.) Your Child's Name *

First

Last

2.) Your Child's Age *

3.) Your child's gender *

Male Female

4.) Which school does your child attend? Children from all school districts are welcome! *

5.) Grade your child will be enrolled in NEXT FALL (2021-22): *

6.) What is your child's diagnosis or special need? *

7.) Does he/she have seizures? (If not, skip to question 8.) *

Yes No

7a.) If so, which type? *

7b.) What should we do if your child has a seizure in our care? *

8.) List allergies (especially food allergies or bee stings) *

9.) List a few of your child's most positive qualities and characteristics? *

10.) What behavior should we be made aware of (e.g. hits, bites, runs away, yells, etc.)? *

11.) What can we do to redirect this behavior? Specific suggestions are greatly appreciated. *

12.) How does your child communicate (e.g. speech, sign language, eye contact, gestures, PECS, etc.)? *

13.) What works best when communicating directions and requests to him/her? *

14.) Please list any accessibility/mobility requirements or special equipment used. *

15.) What is your child most looking forward to about the football clinic? *

16.) Please offer any suggestions that you have on ways in which we can make this the most positive experience for your child. *

17.) Select a t-shirt size for your child. *

18.) Parent's Name *

First

Last

19.) Phone Number (in case of emergency) *

20.) E-mail Address *

21.) Home Address *

City *

State *

Zip Code *

Comments or Questions *

Thank you for completing the registration form.
We look forward to having your child participate in SUNSHINE'S SKILLS AND DRILLS FOOTBALL CLINIC!

© 2021 Sunshine's Skills and Drills Football Clinic. Please contact us for approval to reuse this registration form for your event.

Click Here to Submit Registration