St Raphael Football Honoring the Game
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Online Registration


Be sure to fill out all of the information. Fees are $140 per individual or $215 per family. If you have more then 3 children to register, please print out the application form and mail it in.


Player 1
First Name: Last Name: Birthday: Weight:
Program*
Number of years have you played organized tackle football:
In the fall: What school will you attend: What grade will you be in:
Indicate any physical or medical conditions:
If you are enrolled in Religious Education, which Parish:
List the names of friends you would like on your team in order of priority. We will try to accomodate as many requests as possible.
Check this box to enter a 2nd player.
Check this box to enter a 3rd player.

* Program: St. Raphael Football offers the following programs:

Intramural: Naperville Area, 6 to 11 year olds
Traveling: (5th - 8th Grade) Must attend one of the following:

  • SS. Peter & Paul School, St. Joan of Arc School, or St. Raphael School
  • St. Dominic School or Religious Education Program
  • All Saints Academy students or Religious Education students from St. Elizabeth Seaton, Holy Spirit, St. Margaret Mary, or St. Thomas the Apostle

Family Information:
Address: City:
State: Zip:
Phone: Email:

Father's Information:
First Name: Last Name:
Cell Phone: Email:

Mother's Information:
First Name: Last Name:
Cell Phone: Email:

Comments:
 

Volunteering:
One of the strengths of our program has been our volunteers. Please consider sharing some of your free time with us.
Check In:
Name: Phone:
Coaching:
Name: Phone:
   
I have attended Protecting God's Children:  
Date: Parish:
 

Cheerleading:
For information on St. Raphael Cheerleading, please visit www.napervillepomcheer.org
 

Sponsorship:
The cost of sponsoring a team is $250. If you or your company would be interested, who should we contact?
Name: Phone:
 

St. Raphael Football Waiver and Release
I, do hereby grant permission for my child, a minor, to participate in the St. Raphael Football program. I hereby release the schools, the parishes, and all other participating schools and their agents, coaches, managers, all league officials and board members from any liabilities which may arise out of or caused by any injury to my child while playing, practicing, or otherwise participating in any game during the season. I do also agree to indemnify St. Raphael, Sts. Peter and Paul, and St. Joan of Arc churches, schools, and parishes, Benet Academy, Benedictine University, All Saints Academy, Naperville School Dist. 203, Indian Prairie School Dist. 204 and the Naperville Park District and all other schools and all coaches, managers, officials and board members for any and all sums paid, as a result of prosecution of my child. I agree that it is my responsibility to provide my child with primary hospital and medical insurance and the schools, parishes, or the football league are not responsible for doing so. I agree to provide my child with a NOCSAE approved helmet and facemask.

Check this box to agree to waiver and liability release above: