IEA Sports Registration/Payments

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Phone

Please enter a valid phone number.Format: (000) 000-0000.

Child's Name

First NameLast Name

Grade Level

Teacher Name

Select the sport your child is registering for:

Student-athletes represent IEA and the Firebirds name at all times — in practice, at games, while traveling with the team, and on social media. As a student-athlete and family, you agree to:

Parent/Guardian Signature

Date

I understand that the signs and symptoms of a concussion are as follows (read and check all):

I understand that IEA will do the following if I am showing signs of a concussion or head injury (read and select all):

Assurances and Signatures

Parent/Guardian Signature

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to child.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to child.

Physician Name and Phone

First NameLast Name

Health Insurance Provider

Allergies

Medications

Medical Conditions

Parent Signature

Select Sport Registration Type Below:

Girls Volleyball (Fall)

Includes uniform, UCSSAL registration, and officials. Court shoes are not included. Registration Closed.

$95.00 Quantity
Item subtotal:

Cross Country (Fall)

CoEd. Includes race shirt, UCSSAL registration, and officials. Running shoes are not included. Meet dates will be announced. Registration Closed.

$60.00 Quantity
Item subtotal:

Boys Soccer (Fall)

Includes uniform, UCSSAL registration, and officials. Footwear and shin guards are not included. Registration Closed.

$95.00 Quantity
Item subtotal:

Boys Basketball (Winter)

Includes uniform, UCSSAL registration, and officials. Basketball shoes are not included. Register by January 12, 2027.

$100.00 Quantity
Item subtotal:

Girls Basketball (Winter)

Includes uniform, UCSSAL registration, and officials. Basketball shoes are not included. Register by October 27, 2026.

$100.00 Quantity
Item subtotal:

Girls Soccer (Spring)

Includes uniform, UCSSAL registration, and officials. Footwear and shin guards are not included.

Register by April 6, 2027.

$95.00 Quantity
Item subtotal:

Boys Volleyball (Spring)

Includes uniform shirt, UCSSAL registration, and officials. Court shoes are not included.

Register by March 16, 2027.

$95.00 Quantity
Item subtotal:

Fee Waiver Applied (Select Sport Here)

If you have submitted a fee waiver application and it has been approved by the Director, please complete this section and select your child's participating sport here.

Fee waivers are approved based on income eligibility guidelines.

Free QuantitySelect Sport

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Parent/Guardian Information

Participant Information

Code of Conduct Acknowledgment

Acknowledgement and Signature

Concussion & Head Injury Policy Acknowledgment

Emergency Contact and Medical Information

Primary Emergency Contact

Secondary Emergency Contact

Medical Information

Other Information

Signatures and Fees

Acknowledgement

Select Sport Registration Type Below:

Parent/Guardian Information

Participant Information

Code of Conduct Acknowledgment

Acknowledgement and Signature

Concussion & Head Injury Policy Acknowledgment

Emergency Contact and Medical Information

Primary Emergency Contact

Secondary Emergency Contact

Medical Information

Other Information

Signatures and Fees

Acknowledgement

Select Sport Registration Type Below:*

Select Sport Registration Type Below: