LEVEL82 TACKLE REGISTRATION

Athlete Information

Athlete's First Name*

Athlete's Last Name*

Age Group (Birthday as of January 1, 2025) (Required)*

Grade*

School Name*

Guardian Name*

Guardian Phone Number*

Guardian 2 Name

Guardian Phone Number

Email*

Payment Information

Amount*

Cheer – $150 Flag – $125 Tackle – $200 Full Down Payment – $100 Final Payment – $100 NON REFUNDABLE AFTER JULY 1ST

Credit Card*

Card Details

Cardholder Name

Address*

Street Address Address Line 2 City State ZIP

Personal Note

LEVEL82 Fund is a project of Players Philanthropy Fund, Inc., a Texas nonprofit corporation recognized by IRS as a tax-exempt public charity under Section 501(c)(3) of the Internal Revenue Code (Federal Tax ID: 27-6601178, ppf.org/pp). Contributions to LEVEL82 Fund qualify as tax-deductible to the fullest extent of the law.

Consent*

I agree to LEVEL82 waiver and privacy policy.

Consent*

Yes, I would like to make a payment to LEVEL82*

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