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THE OFFICIAL HOME OF

THE NWI Coyotes

REGISTER TODAY!

Registration: $175

Jersey Fee: $60

Registration fees and Jersey Fees are due at fitting day. Payment can be made at the bottom of this form with CC/Apple Pay/Google Pay/ Paypal, send a check to NWI COYOTES at 5038 E Rock Grove Road, or bring cash/check payment to fitting day.
- JUNE 14TH & 22ND FITTING DAY/EQUIPMENT PICKUP
NWI Coyotes provides all helmets/pads/and practice jersey & pants, mouthguards. Athletes are responsible to provide socks, cleats & water bottles.

All players from surrounding communities and school districts are welcome to join. Please be advised that 6 year old players may receive limited game time as they are learning basic fundamentals of the sports.

Returning Players: You have the "rights" to your jersey number. Prior year jerseys can be reused if they still fit properly and are in good shape. *A personalized game jersey is required for all players*

Practices: Start the last week of July and run through the last game in October. Practices are Tuesday through Thursday from 5:30 pm to 7:30 pm at the Jane Adams Community Center in Cedarville IL.
YOUR CHILDS ATTENDANCE AT PRACTICE WILL INFLUENCE GAME TIME.

Games: Season is typically 9 weeks with a one week bye (8 games) All games are primarily on Saturdays, but may be moved to Sundays if there is a shortage of referees, beginning August 12th.

We will confirm receipt of your registration - check your email for response from nwicoyotes@gmail.com

ALL participants will need to send a copy of their birth certificate to finalize registration.

NWI Coyotes is a volunteer ran program. Volunteering is a requirement to be a part of the program. All families will be expected to volunteer at a MINIMUM of 2 home games.
Payment can be made here via card or brought to any parent meeting or fitting day.

*Payments Note: Select Offline Payment if you wish to wait to pay via CC/Electronic payment & an invoice will be sent for you to pay by fitting day.

ATHLETE NAME

GRADE IN FALL 2025

DATE OF BIRTH

TEAM SELECTION

Boy

Girl

Weight

Height

T-SHIRT SIZE

Parent's Name

JERSEY NEEDED

JERSEY # CHOICE

Parent's Phone #

Parent's Email

2nd Parent's Name

Add answer here

Add answer here

Address

What school does your child attend?

EMERGENCY CONTACT

Emergency Contact Number

INSURANCE WAIVER This is to certify that my child has my permission to participate in the NWI Coyotes program. This is to certify that I as the parent or guardian of the above named person will assume the financial responsibility in case of injury and certify that the above named person has medical/accident insurance coverage and that NWI Coyotes (including coaches, refs, participants, and volunteers) is not responsible for any medical costs arising from such injury. I consent to treatment of my child at the emergency room in Freeport, IL or any other medical institution if he/she is taken there at the direction of the NWI Coyotes. I am not aware of any physical or mental condition or restriction that would prevent my child from participating in the NWI Coyote Football/cheerleading programs. I have reviewed this completed form and affirm that it is correct.

Your Signature

Upload image of birth cert

Upload File

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Select an item ($) *

Football Registration - $175

Football Registration W/Uniform - $235

Football Registration W/Sibling Discount - $160

Football Registration & Jersey W/Sibling Discount - $210

Area you would be interested in helping in

Head Coach

Ast Coach

Social Media Coordinator

Concessions Coordinator

Equipment Manager

Thanks for registering!

Please watch your email for a welcome packet .

Join our HEJA Team (Code WU-775456) for all team updates!

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