Flag registration form 2014
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This document contains a registration form for a flag football league. It collects information such as the player's name, contact details, age, school, insurance information, and permission from parents to participate. Players can register for either the spring session, summer session, or both, and payment is required upon registration.
Flag registration form 2014
- 1. Official Use Only BMF&C FLAG FOOTBALL Jersey # ________ 2014 Registration Player’s Name: _______________________________________ Phone: ___________________________ Address: ___________________________________________ Cell Phone: _______________________ Email Address: ______________________________________ Date of Birth: _____________________ School: ____________________ Present Grade: _________ Birth Certificate: Yes or No _________ (ONLY for new members) officer initials Age as of 6/14/2014: __________ NEW PLAYER / RETURNING PLAYER Team: ___________________________ Do you have a sister/brother already on a team? _______ If yes, what team? _________________ Fathers Name: ____________________________ Mothers Name: _____________________________ With whom does the child reside? _____________________________ Name of Insurance Carrier: ______________________________ Policy #: _________________________ I/We certify that the above information is correct. I/We give permission for my/our child to participate in the Bloomsburg Midget Football Program. I/We understand that Medical Insurance covering my/our child is required and is my/our responsibility. I/We, the parents/guardians of the above named participant of Bloomsburg Midget Football League, Inc., hereby give my/our approval to participate in any and all Bloomsburg Midget Football activities, including transportation to/from activities. I/We understand that participation in midget football may release, absolve, indemnify and agree to hold harmless Bloomsburg Midget Football League, Inc., the organizers, sponsors, coaches, other participants and persons transporting my/our child to/from activities for any claim arising out of any injury to my/our child whether the result of negligence or any other cause. A completed emergency form will be required for all players once the practice season begins. $45.00 (including shirt and shorts) for one session or $60.00 for both spring and summer Choose the session(s) for which you are registering: ________ Spring ________ Summer ________ Both Signature of Parent/Guardian: _____________________________________ JERSEY SIZE: Date: _______________ SHORT SIZE: Youth S M L XL Youth: S M L XL Adult S M L XL Adult: S M L XL Officer Use Only Date: _________________ Registration fee pd: ________ Check #: ________ Cash: ________ Officer initials: ________