February 6, 2003
POP WARNER LITTLE SCHOLARS, INC
TEMPLATE ID CARD
2019 SEASON
|PARTICIPANT INFORMATION CHEER DANCE FOOTBALL FLAG | |
| |ATTACH PHOTO HERE |
| |PHOTO MAY BE NO MORE THAN TWO YEARS OLD |
| |PHOTO MUST HAVE OVERLAPPING |
| |OFFICIAL SEAL |
|DIVISION OF PLAY (check one) |TM MM JPW PW JV | |
| |V JB B UNLIMITED CHALLENGER | |
| |Coach Trainee Mascot | |
|Weight at 1st Practice _________ |Student Demonstrator Water Boy | |
|Last Name, First Name Middle Initial | |
| | |
|Address (city, State, Zip Code) | |
| | |
|Home Phone |Work/Emergency Phone | |
| | | |
|Association /League |Home Jersey Number & Color |Away Jersey Number & Color | |
| / | | | |
|LEAGUE CERTIFICATION OFFICIAL |
|___________________________ ______________________________ |
|League Signature Association |
|Release |
| | | | | | | | |
| | | | |Certified Weight |Cheer Certified | |Reclassified Date |
|Date of Birth |Age as of 07/31 |O/L |Medical |& Date |Insert Date |Scholastics | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
|TO THE BEST OF MY KNOWLEDGE AND BELIEF, I CERTIFY THAT THE INFORMATION ABOVE IS TRUE. |
|Signature and date of Certifying Official: |
| | | |(P) Pass | | | |(P) Pass |
|rEGULAR sEASON |Game Date |Weigh Master’s certification |(F) Fail |pOST |Game Date |Weigh Master’s Certification |(F) Fail |
| | | |(D) DNW |sEASON | | |(D) DNW |
| | | |P | | | |P |
| | | |F |10th Game | | |F |
|1st Game | | |D |Play Offs | | |D |
| | | | |2nd Round | | | |
| | | |P | | | |P |
| | | |F |Play Offs | | |F |
|2nd Game | | |D |3rd Round | | |D |
| | | |P | | | |P |
| | | |F |League FB | | |F |
|3rd Game | | |D |Championship | | |D |
| | | |P | | | |P |
| | | |F |League Spirit | | |F |
|4th Game | | |D |Championship | | |D |
| | | |P | | | |P |
| | | |F |Regional Semi-Finals | | |F |
|5th Game | | |D | | | |D |
| | | |P | | | |P |
| | | |F |Regional Semi-Finals | | |F |
|6th Game | | |D | | | |D |
| | | |P | | | |P |
| | | |F |Regional Championship| | |F |
|7th Game | | |D | | | |D |
| | | |P | | | |P |
| | | |F |National Championship| | |F |
|8th Game | | |D | | | |D |
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