Participant age as at start of program
Date of Birth
Participant Medical Conditions
Parent/Guardian Name (First and Last)
Family Email Address
Emergency Contact Phone
Special Requests or other Relevant Information
Join the Flag Football Coaching Team!
Yes! I would love to be a volunteer coach with the Regina Mini Flag Football League
Volunteer Coach Name
Volunteer Coach Contact Email
2020 Mini Flag Football
By checking this box, I am acknowledging to have read the Girls in the Game Permission/Liability Waiver and am in agreement with its terms and conditions.
By checking this box, I am consenting to receive emails from Girls in the Game and ICANPLAY Sports with my program information and about upcoming programs.
By checking this box, I am giving permission to Girls in the Game to take photographs of my participant for promotional and website use. The names of participants will not be published.
How did you hear about our program?
I'm a previous participant!
Regina Flag Football
Other - please specify
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To complete your registration, please select PST.
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