Flag Football And Volleyball Registration Form

Flag Football And Volleyball Registration Form

If the participant does not have a team, they will be assigned to one.
Date Today

MonthDayYear
Date
Player Name

First NameMiddle NameLast Name
Male or Female
Date of Birth

MonthDayYear
Date
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Church

Parental/Guardian Consent
Conforme

I hereby declare that in my full knowledge and capacity, I give my express and full permission to let my child be treated by qualified medical physician in any circumstance that such attendance be so required to perform all or any immediate medical check-up or treatment
Name of Doctor

First NameLast Name
Clinic / Hospital
Waiver

I am fully aware that this sport activity may cause accidental injury to participants. I likewise assume any and all possible risk that may cause injury, illness, or death arising to such activity. I hereby declare that I waive my right to pursue any and all claims against the Commission and the Organizing Committee of this event should in any case that the accident, injury, illness or death occurs in the course of any activity held by them.
Signature of Parent / Guardian

Clear
Name

First NameLast Name
Date Signed

MonthDayYear
Date
Should be Empty:

Team Application Information