First Name:
  Last Name:  
Date of Birth:
mm/dd/yyyy  Male: Female:  
Address 1:
    
Address 2:
   
City
  
TX
Zip Code
 
School:
      
Grade:
 LBS. Height ft in.  

Uniform Size:

 Top Bottom      
    
First Name:
  Last Name:  
Home Phone: Mobile Phone:  
Relation:      
Email:      
  
  Head  Coach            Asst Coach             Parent/Advisory            Fundraisers
  
  Board Mem                Sponsor                 Sports Commissioner
    
First Name:
  Last Name:  
Home Phone: Mobile Phone:  
Relation:      
Email:      
  
  Head  Coach            Asst Coach             Parent/Advisory            Fundraisers
  
  Board Mem                Sponsor                 Sports Commissioner
    
Name:     Phone:  

Insurance Carrier:

     
  EMERGENCY CONTACT INFORMATION      
Name:      
Phone:      
         
    
         
I do hereby give my approval to my son/daughter's participation in this sport and in the program, and I assume all risks and hazards in these activities and transportation to and from these activities. I do hereby release and hold harmless Epic Youth Sports Association, and it's organizers, directors, officers, sponsors and coaches. I agree to support all Post Oak Texans programs; sponsorships and raffles.

I do hereby give my permission to any responsible person with Epic Youth Sports and Association, in the event of an emergency, if I cannot be contacted by normal efforts, to authorize emergency medical treatment in any area hospital for the child herein named.
  
 
 
 
 
 
         
  
         
By completing the online form, I hereby acknowledge and agree that no refund will be given unless no team/squad can be formed for said age group. Type I agree in the field below
 
 
         
 
         
  
         
         
                  		        

 
The Epic Knights Football Program is a division of The Epic Dynasty Youth Sports Organization a 501(c)(3) Organization