Georgia Vipers 2025 Tryout Form

Georgia Vipers Tryout Form

If you are still interested in trying out for the Georgia Vipers team, fill in the form below & we will be in touch with a date you can join the team and tryout at a practice. If you have any questions do not hesitate to reach out: info@georgiavipers.com
NAME*

First NameLast Name
IF YOU HAVE A NICKNAME OR A NAME YOU PREFER TO BE ADDRESSED AS PLEASE LIST IT HERE:
WHEN IS YOUR BIRTHDAY?*

MonthDayYear
Date
EMAIL*
example@example.com
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER*
Please enter a valid phone number.
IS THE NUMBER LISTED ABOVE A CELL PHONE NUMBER?*

YesNo
EMERGENCY CONTACT NAME*

First NameLast Name
EMERGENCY CONTACT PHONE NUMBER
Please enter a valid phone number.
HOW MANY YEARS HAVE YOU PLAYED ORGANIZED, WOMEN'S TACKLE FOOTBALL? *
CHECK THE POSITION YOU ARE INTERESTED IN TRYING OUT FOR WITH THE GEORGIA VIPERS. IF YOU ARE UNSURE, JUST CHECK THAT AND THE COACHES WILL MATCH YOU WITH THE BEST POSITION.*

QBTERBLBWROLDLDBKLSPUNSURE
HEIGHT*
WEIGHT*
HOMETOWN, STATE*
For Example: Perry, FL or TN
YOUR HIGH SCHOOL OR COLLEGE
For Example : Camden County OR Maryville (DO NOT ADD IN HIGH SCHOOL AFTER)
YOUR ATHLETE INSTAGRAM HANDLE *Note all Georgia Vipers players will be asked to have athlete social media handles separate from their personal social media accounts*
For Example: @MCCoach
DID YOU PLAY FOR ANOTHER WOMEN'S FOOTBALL ORGANIZATION DURING THE 2024 SEASON*
IF YOU ANSWERED YES TO PLAYING FOR ANOTHER WOMEN'S FOOTBALL ORGANIZATION DURING THE 2024 SEASON, PLEASE NAME THE ORGANIZATION BELOW. IF YOU DID NOT, TYPE "N/A"*
What size unisex shirt do you wear?*

XSSMLXLXXLXXXL
What size shorts do you wear?*

XSSMLXLXXLXXXLXXXXLOther
Do you have your own helmet?*

YesNo
What size helmet do you wear

SMLXLXXLOther
1ST CHOICE FOR YOUR JERSEY # *
2ND CHOICE FOR YOUR JERSEY # *
DO YOU HAVE INSURANCE (MEDICAL OR ACCIDENT)?*

YESNO
HOW DID YOU HEAR ABOUT THE GA VIPERS?*

Word of MouthInstagramFacebookWeb SearchOther
I UNDERSTAND THAT I WILL BE REQUIRED AND I AM WILLING TO COMMIT TO PRACTICING 2 NIGHTS PER WEEK JANUARY 2025 - JULY 2025*

I understand and I am willing to commit to this
I UNDERSTAND THAT I WILL BE REQUIRED AND I AM WILLING TO COMMIT TO TRAVELING TO AWAY GAMES WHICH MIGHT REQUIRE ME TO LEAVE ON FRIDAYS AND RETURN LATE ON SUNDAYS FROM APRIL 2025 - JULY 2025*

I understand and I am willing to commit to this
PLEASE READ CAREFULLY

Thank you for your interest in playing for the Georgia Vipers. Please realize this is NOT a recreational program and the focus on competition increases dramatically. The mission of this program is to give women in the Atlanta and surrounding areas an opportunity to play tackle football at an advanced level.

By Signing Up Below I/We understand:

- There is a significant time commitment to your team and teammates

- This is NOT a recreational program and there is NO minimum playing time requirement.

- Practices and games are mandatory. Missing practices and games will affect playing time and subject you to removal from the team.

- After January (Flag Nationals) Georgia Vipers football comes before any other sport.

- Coaches may hold some practices in the offseason. While these practices are not mandatory, every effort should be made to attend in order to avoid falling behind the other players.

- I/We the parent(s) of a candidate for a position on the Georgia Vipers Women's Football Team, hereby give my/our athlete approval to participate in any/all activities during the upcoming season.

- I/We assume all risks and hazards incidental to such participation including transportation to and from activities, and I/We do herby waive, absolve, indemnify and agree to hold harmless the Vipers organization, participants and persons transporting my/our athlete – except to the extent and in the amount covered by liability insurance.

- I/We understand that I will be required to submit proof of Medical insurance prior to the start of the season.
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below
Signature*

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Informed Consent/General Release

PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR AGREEMENT.
NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY.

Since participation in adult sports activities can be dangerous, Georgia Vipers requires that all participants (and their adult parent(s) or guardians) to assume all risks associated with team events by signing this general release.

For and in consideration of myself/my athlete being permitted to participate in Georgia Vipers team activities, I hereby voluntarily release, discharge, waive and relinquish any and all claims or actions for damages for personal injury, permanent disability, death, or property damage which I or my athlete may have, or which may here after accrue to me or my athlete, as a result of my participation in Georgia Viper's activities during play and while I am while I am participating or for any other reason. This release is intended to discharge, in advance, Georgia Vipers, it’s officers, employees and agents, and the owners and maintainers of any facility used for team activities activities, from any and all liability arising out of or connected in any way with my/my athlete's participation

I further understand that serious accidents occasionally occur during football activities, and that participants occasionally sustain serious personal injuries, death or property damage as a consequence thereof. Knowing the risks, I have voluntarily applied for myself/my athlete to participate in the activity and thereby agree to assume those risks to release and hold harmless Georgia Vipers, its officers, employees or agents, or the owners or maintainers of any facility used by the Georgia Vipers for practice or activities, who (through negligence or carelessness) might otherwise be liable to me or to my athlete (or my heirs or assigns) for damages.

I further understand and agree that this release, discharge, waiver, and assumption of risk is to be binding on my and my athlete's heirs, executors, administrators, and assigns.

I further agree to indemnify and to hold harmless Georgia Vipers, its officers, employees and agents, or the owners or maintainers of any facility used by the Georgia Vipers for practices or activities, for any loss, liability damage, cost or expense which may incur as a result of any injury or property damage I or my athlete may sustain while participating in the activity.

I agree to comply with the program’s stated and customary terms and conditions for participation according to the Georgia Vipers. If I observe any significant change with regards to my/my athlete'sreadiness for participation in the program, I will remove myself/my athlete from the program immediately.

I have read this Informed Consent/General Release, fully understanding its terms, that I give up substantial rights by signing it, and sign it voluntarily.
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below
Signature*

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Photo Waiver Release Form

I hereby grant the releasee permission to use photographs in any of the following:
- Web-based production
- Print Advertisement
- Organizational Bulletin
I hereby affirm that such release to the releasee does not constitute any form of compensation, including royalties arising from the photographs, to my benefit.

I understand and agree that photographs in the possession of the releasee shall become the property of the releasee. The use and publication of the photographs however, shall conform to my rights as a subject of said photographs.

I hereby waive my right to inspect of approve the photographs by which my likeness appears.

I hereby hold harmless, release, and forever discharge the from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Age of Consent
I declare true my age of consent, and in case I am under the age of such consenting age, I have obtained the required consent from my parents/guardians as evidenced by the signatures below:
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below
Signature*

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FINAL STEP - PAYMENT

I understand that there is a $20 tryout fee associated with this GA Vipers tryout. I understand that this fee is non-refundable regardless of my being offered and accepting a position on the 2025 Georgia Vipers roster or not. By submitting your payment, you agree to the statement above.