Player's First Name
Player's Last Name
Player's Date of Birth
Player's Grade
School Player Attends
If player does not attend the Barron Area School District, please indicate player's home address.
Parent/Guardian #1 Name
Parent/Guardian #1 Phone Number
Parent/Guardian #1 Email Address
Parent/Guardian #2 Name
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Email Address
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relationship to Player
Does the player have any medical conditions the coach needs to be aware of?
Player's Medical Condition(s):
On occasions pictures of participants may be taken and shared in promoting Barron Area Youth Sports. Pictures may be published in local newspapers, on the Barron Area Youth Sports website, and on the Barron Area Youth Sports Facebook page. Do you give permission for photos of your child to be published:
Are you willing to coach?
Please indicate shirt size for Jersey
Enter your email address
* Enter Your Email Address: