top of page

Football Registration Form

Please complete the form to register your child for our youth football program.

Pay here

*Payment plan available. Choose Afirm or Klarna at checkout to pay in payments.

Deposit will be deducted from your registration total

Child’s Information

Date of Birth
Month
Day
Year
Has your child played tackle football before?
Yes
No
Gender
Male
Female

Parent/Guardian Information (Emergency Contact)

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Irvine Chargers

949-394-3085

Lightspeedtc@yahoo.com

P.O. BOX 13144

Newport Beach, CA. 92658

  • Facebook
  • Instagram
  • X
  • TikTok

Stay Connected with Us

© 2035 by Irvine Chargers. Powered and secured by Wix 

bottom of page