Registration

2012 Registration is Scheduled for Saturday Feb, 18 9-Noon East Irond. Middle School. Once teams are full Registrations for that level will be closed and posted on site. ISE PO Box 67314 Rochester , New York 14617 Phone: 585-234-1770 BOYS AND GIRLS... Football Players - ages 5-15 Cheerleaders - ages 5-13 Registration fee will be $140.00 for all players and cheerleaders. all divisions. There is a $10 deduction per additional family member with a maximum fee per family of $350. (No Refunds) Registrations are accepted on a first-come, first-serve basis. EARLY REGISTRATION FOR VETERAN PLAYERS/CHEERLEADERS ARE ACCEPTED AFTER JANUARY 1, 2012 AND DUE BY February 18, 2012 FOOTBALL CHEERLEADERS Bob Pixley 234-1770 Gina Pixley 234-1770 •Registrations will not be accepted for players with any outstanding equipment •All participants must include all required paperwork to date and full payment to be placed on a roster. REQUIRED FOR NEW AND RETURNING PARTICIPANTS: *1: Completed Western NY Pop Warner ID Registration Forms. *2: Completed Irondequoit Pop Warner Registration Form. *3: Photo copy of Birth Certificate. *4: Current Picture. #5: Completed Med. Release Form with Dr. signature. (must be signed and dated after 01/01/11 and due 07/01/11) #6: Copy of June 2012 Report Card (will kept confidential) MANDATORY *7: Registration Fee and Mandatory Raffle Tickets # Medical Form and Report Card are due July 1, 2012 Players/Cheerleaders who have not submitted all paperwork will not be allowed to practice on August 1st until required paperwork is submitted.