Momentum Flag Football 2021
Thank you for registering for Momentum Flag Football!
If you have any questions feel free to call the church office at 968.6966 or email joel@myconnectchurch.cc
Contact Information
Parent's Name
*
Email
*
This address will receive a confirmation email
Phone
*
Player Information
Child's Name
*
Child's Grade
*
Please select one option.
K
1st
2nd
3rd
4th
Select Option
K
1st
2nd
3rd
4th
Child's T-Shirt Size
*
Please select one option.
S
M
L
Select Option
S
M
L
Additional Players
Child #2 Name
Child #2 Grade
Please select one option.
K
1st
2nd
3rd
4th
Select Option
K
1st
2nd
3rd
4th
Child #2 T-Shirt Size
Please select one option.
S
M
L
Select Option
S
M
L
Child #3 Name
Child #3 Grade
Please select one option.
K
1st
2nd
3rd
4th
Select Option
K
1st
2nd
3rd
4th
Child #3 T-Shirt Size
Please select one option.
S
M
L
Select Option
S
M
L
Join Our Team!
Be a real MVP
! Momentum is always looking for coaches and/or volunteers. If you're interested in being a part of this awesome program we'd love to meet you!
I would like more info about how to volunteer: Coach/Ref/Food etc.
*
Please select one option.
Yes
No
Payment
Check/Cash ($0)
1 child ($40)
2 children ($80)
3 children ($120)
Check/Cash ($0)
1 child ($40)
2 children ($80)
3 children ($120)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Thank you for registering for Momentum Flag Football!
If you have any questions feel free to call the church office at 968.6966 or email joel@myconnectchurch.cc
×
Please Fix the Following