D1DAWGS Player Registration Form

D1 DAWGS Player Registration Form

Athlete Information:

Full Name*

Date of Birth MMDDYYYY*

* Calculated Field

Age at Cut-off*

Todays Date

Date

Cut-off Date

Date

Team Assignment*

* Calculated Field

Current Age*

Gender*

Current School

Current Grade

Parent/Guardian Information:

Name(s)*

Relationship to Player*

Phone Number*

Alt Phone Number

Email Address*

example@example.com

Address

Home Address

Street Address Line 2

CityState

Zip

Emergency Contact Information:

Emergency Name*

Emergency Relationship

Emergency Phone Number*

Alt Emergency Phone Number

Known History:

Known Allergies

Medical Conditions

List all relevant to our program.

Doctor's Name

Doctor's Phone

Insurance Provider

Policy Number (Group ID)

I grant permission for my child's photograph or video to be taken during team events and games for promotional, educational, or social media purposes. I understand that these images may be used in league materials, websites, or social platforms.

Media Release Permission: *

Yes, I give permissionNo, I do not give permission

I give permission for my child to participate in ride-sharing arrangements facilitated or coordinated by DAWGS volunteers or parents, for practices, games, and official team events. I understand that reasonable efforts will be made to ensure my child's safety, but I accept full responsibility for transportation arrangements.

Ride Share Permission*

Yes, I give permissionNo, I do not give permission

I understand that it is required to have a copy of a Sports Physical form on file with D1 DAWGS youth football program in order for my child to participate in scrimmages and/or games.

Physical Requirement*

I have provided a copy of the physical form to D1 Dawgs (Upload below).I need to get an up-to-date physical form filled out.I will require assistance to complete the physical form for my child to participate.Other:

I understand that it is required for my child to have a valid state issued ID on file with D1 DAWGS youth football program in order to participate.

Id Requirement*

I have provided a copy of the state ID to D1 Dawgs.(Upload below).I will require assistance to get a state ID for my child to participate.I will get an ID by:

I understand that it is required for my child to have a valid birth certificate on file with D1 DAWGS youth football program in order to participate.

Birth Certificate Requirement*

I have provided a copy of my child's Birth Certificate.(Upload below).I will provide a copy by:

I understand that participation in D1 DAWGS youth football program involves physical activity and acknowledge that the league is not responsible for any injuries that may occur. I also authorize emergency medical treatment if necessary.

Medical Acknowledgement*

Yes, I authorize emergency medical treatment, if required.No I do not authorize any medical treatment, but have provided emergency contact information, if needed.

I certify that all information provided is accuarate and correct to the best of my knowledge. I have read and understand the risks involved with a physical sport and give my child permission to participate.

Overall Acknowledgement*

Yes, I understand and certify all information is correct and give my permission

You can attach your ID, Birth Certificate, sports physical and any other necessary forms (IE Allergies/Medications required)below:

Upload documents here:

Parent Guardian Print

Parent Guardian Signature*

Date

Player Signature Print*

Participant Signature*

Date