ACT 2025 "11u-12u" REGISTRATION

1. PERMISSION: I am the parent or legal guardian of the above-named participant. I acknowledge that my child is in good health. I give permission for my child to participate in any and all National Youth Sports Association and Atlanta Crimson Tide activities, including transportation to and from the activities. I give permission for, and assume any and all risk of my child's use of various playing surfaces including natural and artificial grass, hard dirt, and under varying conditions, including, dry, wet and muddy, and I hereby understand that any surface may be regular or irregular.2. RISK INFORMATION: I acknowledge the potential dangers of participation in any sport and I understand that participation in football, cheerleading and/or dance may result in BODILY INJURY, PARALYSIS, BRAIN INJURY, PERMANENT DISABILITY AND/OR DEATH. I acknowledge that protective equipment does not prevent all participant injuries, and therefore I release, absolve, indemnify, hold harmless and waive any claim against the coaches, league and the Atlanta Crimson Tide and National Youth Sports Association, and any and all organizers, sponsors, supervisors, participants, and persons transporting my child to and from activities, for any injury to my child whether the result of negligence or for any other cause.3. EMERGENCY MEDICAL AUTHORIZATION: I give permission for emergency medical/dental treatment or first aid to be administered to my child for any illness/injury/accident resulting from participation in the National Youth Sports Association activities.4. EQUIPMENT RESPONSIBILITY: I acknowledge my responsibility for any and all equipment/uniforms loaned to my child and I agree to promptly return, upon request, the uniform and other equipment in good condition except for normal wear and tear. If I fail to comply, I will be responsible for the cost of such equipment/uniform.5. INSURANCE DISCLOSURE: I am aware that the National Youth Sports Association carries group accident medical insurance which is secondary or excess to my insurance which is considered primary insurance. Further, I agree to notify in writing my head coach and the National Youth Sports Association of any medical claim from participation with the National Youth Sports Association and Atlanta Crimson Tide as soon as reasonably possible. I understand that the registration fee is not premium for insurance and that deductibles may apply.6. SCHOLASTIC FITNESS: I confirm that my child is scholastically fit and that I will adhere to all rules and regulations therein concerning scholastic fitness. Further, I authorize my child’s school to release grades, report cards, and all other scholastic information to the National Youth Sports Association and Atlanta Crimson Tide in order to comply with scholastic fitness requirements.7. FINANCIAL RESPONSIBILITY: I acknowledge that my rights, if any, to a refund depends on the National Youth Sports Association and Atlanta Crimson Tide policies.8. COMMUNICATIONS, PROMOTIONS, AND CONSENT: As a condition to my child’s participation, I consent to receive communications by email and mail from the National Youth Sports Association and Atlanta Crimson Tide and its sponsors. I understand that the National Youth Sports Association and Atlanta Crimson Tide does not sell its contact list. Communications may contain program information or special offers. I may “opt out” by instruction in the communication or by my written request to the National Youth Sports Association and the Atlanta Crimson Tide. Further, I grant the National Youth Sports Association and the Atlanta Crimson Tide the right and permission to make, reproduce, broadcast or otherwise use in perpetuity my child’s name and likeness including photograph, films, videos, recordings, or other depictions or images in any form or media throughout the universe, for promotional material, advertising, editorial, trade or other purpose. To the extent that any benefit may accrue therefrom, I forever waive any interest in or claim to such benefit and acknowledge that the National Youth Sports Association and the Atlanta Crimson Tide is under no obligation to exercise any rights granted herein.9. ADULT CODE OF CONDUCT: S1: In order to uphold the goals of the National Youth Sports Association and the Atlanta Crimson Tide and ensure that all participants have the benefit of a safe and fun learning environment, all parents, guardians and other adults and attendees of the National Youth Sports Association and the Atlanta Crimson Tide events, including but not limited to practices, competitions, and banquets, must behave accordingly in a respectful, courteous and sportsmanlike manner at all times. S2: Any adult who is using alcohol, tobacco or non-prescription drugs and/or appears intoxicated at a National Youth Sports Association and the Atlanta Crimson Tide event, and/or who is flagrantly rude, attempts to intimidate, verbally abuse, heckles, taunts, ridicules, boos, throws objects and/or uses vulgarity or profane language/gestures with an official, coach, volunteer, staff member, participant or other event attendee, must receive a verbal warning and/or be asked to leave a National Youth Sports Association and the Atlanta Crimson Tide event. The member organization may also provide a written warning to the individual regarding the misbehavior. The adult’s children may also be removed from the event. Any adult who commits one of the above stated offenses a second time, will be banned from any and all National Youth Sports Association events for a period of one year from the date of the second offense, and their children may also be removed from the program(s) for that time period. S3: Any adult who physically assaults an official, coach, volunteer, staff member or participant or threatens grave bodily harm may be banned from any and all National Youth Sports Association events for one year from the date of the offense, and their children may also be removed from any and all National Youth Sports Association programs for that same period of time. After the ban has expired, if the individual commits another offense of the adult code of conduct, the individual will be permanently banned from any and all National Youth Sports Association events and the individual’s children may also be permanently removed from any and all National Youth Sports Association and the Atlanta Crimson Tide programs.10. ADHERENCE TO ATLANTA CRIMSON TIDE RULES AND PROCEDURES: I understand that it is my responsibility to comply with all rules and regulations of the National Youth Sports Association and the Atlanta Crimson Tide and its affiliated organizations and understand that non-compliance may be cause for discipline and/or dismissal of my child, myself, and/or other persons affiliated with me or my child. I further understand that my child must meet the National Youth Sports Association age and/or grade requirements on their official certification date as established by the National Youth Sports Association without exception and that the decision of the organization is final. I agree to furnish an authentic certified copy of my child’s birth certificate to the National Youth Sports Association and the Atlanta Crimson Tide officials and understand that valid proof of age, a current calendar year’s signed medical release, scholastic fitness form (report card) must be presented by date of certification in order to participate in Atlanta Crimson Tide activities. I hereby hold the National Youth Sports Association and the Atlanta Crimson Tide harmless of any financial loss as the result of any disciplinary action.11. DISPUTE RESOLUTION POLICY SEVERABILITY: I understand and acknowledge that all disputes with the National Youth Sports Association and the Atlanta Crimson Tide and all affiliated parties will be subject to binding arbitration. I hereby agree that this binding arbitration shall be in lieu of any litigation. I also understand and agree that if I contest any decision or ruling of the National Youth Sports Association and the Atlanta Crimson Tide and seek other recourse, that I will reimburse the National Youth Sports Association and the Atlanta Crimson Tide for all legal fees and expenses it reasonably incurs. If any portion of this form shall be deemed unenforceable, the reminder shall remain in full force and effect.