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This page contains descriptions and links to each registration form required by Holmdel Pop Warner.  Each form can be opened, saved to your home computer, and then printed out for submission at registration.

 

Pop Warner is a national organization with stringent guidelines for registration. The Pop Warner national organization, along with the Jersey Shore Conference, requires proof of each participant’s age, weight, academics, and medical clearance. Providing this information for each participant prior to the start of the season is mandatory. Participants will not be eligible to play or begin practice until the required documents are received.  There are absolutely no exceptions to this policy.  

 

 

At the April In person registration conformation, you are required to present the following documentation:

 

  • Registration Confirmation – Please bring your registration confirmation.

 

  • Original Birth Certificate and One Copy – We need to see the original birth certificate but will immediately return the document to you.  We will keep the copy for our records.  (Once we have copy on file you will not need to provide it again)

 

  • Proof of Medical Insurance – Please know the name and policy number of your insurance carrier, along with the participant’s primary physician. Please provide a copy of the front and back of the medical insurance card.  If the participant is not covered by medical insurance please provide a signed letter stating so.

   


  • 2009 Participant Contract and Parental Consent  (click to open and print) -  Please print, fill out and bring to registration


     
  • Proof of Residency - NEW PLAYERS ONLY, (this can be a tax bill, utility bill, etc.)    

     



 

 

 

 

 

 

 

 

 

At July's equipment  pick-up day, you are required to present the following: 

(Please note : You will not receive any equipment without the information below)

 

  • Physician’s Certification (2009 Medical Release Form link below) :  Pop Warner has mandated that each participant submit a completed Pop Warner Physical Fitness and Medical History form.  This form must be completed and signed by a parent or legal guardian, and a licensed state examiner (M.D., D.O., R.N., etc) and be dated after January 1 of the current year.  No other forms or notes will be accepted.  Medical form must be complete in its entirety and must be BOTH STAMPED AND SIGNED by your physician.

  • Participants will not be allowed to take part in any Pop Warner activities until the form has been submitted.  IMPORTANT NOTE: This is a Pop Warner Rule and there are no exceptions.  

                     2009 Medical Release Form (click to open & download)

 

 

  • 3 Copies of Year End Report Card:  Pop Warner requires each participant to demonstrate satisfactory academic achievement as evidenced by their report card.  Only Year End Report Cards are acceptable.  Three Copies are required – One for the participant’s registration record, one to submit to the Jersey Shore Conference and one for Pop Warner National. (NOTE: Copies of Report Cards are not required for the Flag Program)

        Online Registration (click to proceed to Online Registration)

 

 

 

 

 
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