2023 Colchester Catamounts Registration
NVYFL Registration Form
Player's Last Name
Player's First Name
Player's Date of Birth
-
Month
-
Day
Year
Player's Nickname
Player's Height
Player's Weight
Player's School In The Fall
Player's Grade In The Fall
Player's First Season:
YES
Football Experience
NONE
SANDLOT
ORGANIZED FLAG
1 YEAR OF TACKLE
2+ YEARS OF TACKLE
Player Guardian A
Mother
Father
Grandparent
Guardian
Guardian A Name
Guardian A Street Address
Guardian A Home Phone (xxx-xxx-xxxx)
Guardian A Cell Phone (xxx-xxx-xxxx)
Guardian A Email Address
Guardian A Place Of Work
Guardian A Work Phone (xxx-xxx-xxxx)
Player Guardian B
Mother
Father
Grandparent
Guardian
Guardian B Name
Guardian B Street Address
Guardian B Home Phone (xxx-xxx-xxxx)
Guardian B Cell Phone (xxx-xxx-xxxx)
Guardian B Email Address
Guardian B Place Of Work
Guardian B Work Phone (xxx-xxx-xxxx)
Player's Physician
Physician's Phone ( xxx-xxx-xxxx )
Medical Insurance Company:
Medical Insurance Policy #:
Player Medical Considerations ( allergies, medications, etc )
Emergency Contact First Name:
Emergency Contact Last Name:
Emergency Contact Phone ( xxx-xxx-xxxx )
Emergency Contact Relationship:
Select Your Volunteer Options
Coaching
Team Parent
Officiating
Game Preparation
Fundraising
Snack Bar
PARENTAL RELEASE: I / We certify that I / we am / are the parent(s) or legal guardian(s) of ‘player’ and that he / she is, to the best of my / our knowledge, physically fit and able to participate in unrestricted activities related to practice and games in the sport of football. If ‘player’ has a history of serious illness or injury a note signed by a physician clearing the individual for full participation in all NVYFL activities must accompany this form. GENERAL RELEASE: The undersigned individual, in consideration of his / her player’s participation in the Northern Vermont Youth Football League, covenants and agrees to hold harmless NVYFL, its agents, team organizations, coaches and all league administrators and persons transporting ‘player’ to / from activities, against all liabilities, expenses, costs and claims arising from or in connection with any suit, claim or demand of any kind and character brought or maintained in connection with the player’s participation in the NVYFL and an associate member team. The program includes the use of football players’ equipment, and the preparation for participation in tackle football games - a contact sport - under the instruction and supervision of adults. NVYFL hereby informs both the player and his / her parents or guardians that there are risks inherent in the athletic participation. I / We agree to return all equipment assigned to my / our child, or be sent a bill for it.MEDICAL RELEASE: I / We grant permission to NVYFL coaches / staff to render first aid to ‘player’. In case of emergency, I / we hereby authorize him / her to be treated by Certified Emergency Personnel and understand that I / we and / or his / her emergency contact ( parents first ) will be contacted as quickly as possible. WEBSITE RELEASE: I / We give permission for ‘player’s picture and name ( first initial, last name ) to appear on the NVYFL website and / or associated team site. Further I / we understand that the content of the website is at the sole discretion of the website administrator and NVYFL and that neither guarantee that his / her picture nor name will appear. ( only select if you DO NOT agree to this release )
I DO NOT AGREE TO THIS RELEASE
By signing below, the player and parent / guardian acknowledge all information and herein give their consent to participate in the CYFL program which is part of the NVYFL.
Clear
Date of Signature
-
Month
-
Day
Year
Date
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