ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ 2004ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ FPD VIKINGÝ FOOTBALL

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝ & CHEERLEADING LEAGUE

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝ (2^ND, 3^RD,4^TH & 5^TH GRADES)

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ REGISTRATIONÝ FORM

Name:___________________________________Ý Football _____Ý Cheerleader _____

Date of Birth: ___/___/___ÝÝÝ Grade:_______ÝÝ School __________________________

Parentís Name(s): _______________________________________________________

Address: __________________________________________,GA zip:_____________

ÝÝÝ Telephone #:Ý Home: _____________________ÝÝÝÝÝÝÝÝÝ Work:Ý __________________

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ Cell:ÝÝÝ _____________________ÝÝÝ ÝÝÝÝÝÝÝE-Mail: _________________

Fees:ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝ Football:ÝÝÝÝÝÝÝÝÝ FPD Student:ÝÝ $90.00ÝÝÝÝÝÝÝÝ Non-FPD Student:ÝÝ $100.00

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝ Cheerleading:Ý FPD Student:ÝÝ $75.00ÝÝÝÝÝÝÝÝ Non-FPD Student:ÝÝÝÝ $85.00

Make check payable to FPD Football & Mail To:ÝÝÝÝ Please Provide:ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

ÝÝÝÝÝÝÝ First Presbyterian Day School ÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝFootball:Ý HeightÝ Ý___í___î

ÝÝÝÝÝÝÝ Viking Football LeagueÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝWeightÝ ______lbsÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

ÝÝÝÝÝÝÝ 5671 Calvin Drive ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝPlease Circle Apprx. Youth Size:

ÝÝÝÝÝÝÝ Macon, GAÝ 31210ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝCheerleader: ÝÝXSÝ SÝ MÝ LÝ XLÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

Yes! I am interested in: ÝÝÝÝÝÝCOACHING _______ÝÝ ÝTEAM MOM ______Ý

Name: __________________________________ÝÝÝÝ Telephone #: _________________ÝÝÝÝÝÝÝÝ

2nd & 3rd Grades:ÝÝ FootballÝ practice on Mondays @ 6:00 PM for 1 ‡ Hours.

4th & 5th Grades:ÝÝÝ FootballÝ practice on Tuesdays @ 6:00 PM for 1 ‡ Hours.

ÝÝÝÝÝÝÝÝÝÝÝÝ Cheerleaders will practice immediately after school on Fridays.

All games will be played on Saturday mornings except for one special Friday night.

Practices begin in late August with games played in mid-September through October. Any football questions, please call Bobby Gerhardt @ 474-7086 or e-mail him at rhgerhardt@aol.com or cheerleading questions, please call Lori Harden @ 477-0225.

ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ-----------------------------------

I hereby give approval for the participation of my child, whose name appears above, in any and all 2004 Viking Football League (VFL) activities and assume all the risks and hazards associated with incident to such participation, including transportation to and from VFL activities.Ý I understand that, although this is a recreational league, the possibility of an accident or injury involving my child does exist.Ý I further understand that FPDís student accident insurance coverage, if my child is an enrolled FPD student, Ýis a secondary catastrophic plan, and will only take effect after my personal insurance has been exhausted and the school student accident policyís deductible has been satisfied by me or my insurance provider.

PARENT/GUARDIANÝ ________________________________DATE ______________

ÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝDEADLINE:Ý ÝFRIDAY,Ý AUGUST 20, 2004