2026 Player Registration

Parent / Legal Guardian

Primary contact — required

First Name*

Last Name*

Email Address*

Mobile Phone*

Parent / Legal Guardian #2 (optional)

If applicable

First Name

Last Name

Email Address

Mobile Phone

Emergency Contact

Someone to reach if parents are unavailable

First Name*

Last Name*

Relationship to Player*

Phone Number*

Medical Information

Helps our coaches keep your player safe

Does the child have health insurance?*

YES

Medical Conditions / Allergies (leave blank if none)

Liability Waiver

Read carefully and sign below

I understand that as a parent or legal guardian, I am solely responsible for any injury that may occur during the duration of the Purchase Line Little Gridder Season and will not hold the Purchase Line School District, Purchase Line School Board, Purchase Line Gridder Corporation, Coaches, Officers, Board Members, or any Gridder member liable for an injury that could result. I have also read and agree to adhere to the list of requirements necessary for the successful football season.

I accept the liability waiver and understand its terms*

Parent / Guardian Signature*

BY SIGNING YOU GUARANTEE ALL INFORMATION IS CORRECT TO THE BEST OF YOUR KNOWLEDGE

Birth Certificate (first-time players only)

Required for players new to the program

Upload Birth Certificate (PDF, JPG, or PNG · max 10MB)

Click to browse or drag a file here

If you cannot upload now, email it to [email protected] with your player's name in the subject line.

Registration Payment

Secured by Stripe · All major cards accepted · Encrypted

2026 PL Gridders Registration

Select a team above to continue

$41.50

per player

Card Details*

256-bit SSL encryption · Your card data never touches our servers

By submitting you confirm all information is accurate and that you accept the liability waiver above. Payment is processed immediately via Stripe and a receipt will be emailed to you.

Please fill in all required fields, sign the waiver, and enter your card details.

You're Registered!

Your player is officially registered for the 2026 PL Gridders season. Stripe has emailed a payment receipt to you, and our coaches will be in touch soon with practice details.

Registration Summary

Player: —

Team: —

Grade: —

Amount paid: $41.50

PlayerRegistration

You're Registered!

Player
Registration