For over 40 years, “Heart, Pride, Discipline” has been the motto of winning football and cheer squads in Medina!

Cheer Early Registration fee $75
(after 2/29/12 rate will increase to $95 after 7/1/2012 rate will increase to $125)

Mascot Early Registration fee $60
(after 2/29/12 rate will increase to $75 after 7/1/2012 rate will increase to $100)

Want to register for tackle football?

Already Registered and Need to Send Payment?

Sends checks payable to:
MYFA
PO Box 1644
Medina, OH 44256

You’re not considered registered until payment has been received.

Participant Information

1. Participant Name
   (required)
2. Nick Name
   
3. Age as of 8/31/12
   (required)
4. Name of School in Fall 2012
   
5. Participantʼs Home Address (include City)

Parent / Guardian Information

1. Mother /Guardian’s Name
   
2. Mother /Guardian’s Email
   
3. Mother /Guardian’s Home
   
4. Mother /Guardian’s Cell Phone
   
5. Father / Guardian’s Name
   
6. Father / Guardian’s Email
   
7. Father / Guardian’s Home Phone
   
8. Father / Guardian’s Cell Phone
   

New This Year

1. Mascots will be limited and are on a first come, first serve basis.
2. We are working on putting together a competition cheer squad. Would you be interested in receiving more information about this? *additional fees will be required
   No Yes
3. Have you previously participated in MYFA Cheer?
   No Yes Broncos Yes Colts Yes Mustangs Yes Stallions
4. UNTIL YOU HAVE RETURNED ALL REQUIRED PAPERWORK AND PAYMENTS, your child can not particpate in practice or receive their cheer equipment!
5. All registrations received after July 1, 2012 – will be subject to a $25 late fee and will be drafted to a team as space allows.

Scholarship Requests

1. MYFA is dedicated to providing opportunities to all athletes regardless of ability to pay registration fees. Please check below to request a Financial Aid Scholarship and attach a school lunch program letter or similar form to this registration. Scholarship requests received after 7/1/12 will be subject to the $25 late fee.
2. I/We hereby request a full financial aid scholarship for my child for the 2012 season.
   
3. I/We hereby request a partial financial aid scholarship for my child for the 2012 season.
   
4. MYFA proudly salutes our active military by providing military scholarships to all children of active military.
5. I/we are current active members of the US Military
   
6. By registering I/we understand and acknowledge by allowing my/our child to participate in this activity that the risk of injury may exist. I/we understand it is my/our responsibility to provide accident and health insurance coverage for my/our child, and I/We will be financially responsible for all charges and fees for emergency medical treatment regardless of whether my medical insurance covers such charges. I/We give MYFA permission to post my child photo on the Medina Youth Football website.

 

cforms contact form by delicious:days

You’re not considered registered until payment has been received.