2026 Lisbon Little Blue Devils Registration

This form is to register your child for the Lisbon Little Blue Devils

2026 season

PLEASE SIGN ONE ATHLETE UP PER FORM
Athlete's Name*
First and Last
Team/Squad*
Bantam - K-2nd, JV - 3rd&4th, Varsity - 5th & 6th THIS IS BASED ON THE GRADE YOUR CHILD WILL BE GOING INTO.
Cheer or Football*
Will your athlete be joining football or cheer?
Athlete's T-Shirt Size*
Birthday*

MonthDayYear
Date
Age as of August 1, 2026*
School System Child Attends*
Child's Address*
Town*
Phone#*
Format: (000) 000-0000.
E Mail Address*
example@example.com
By signing this form I state all information is correct and understanding by giving false information will result in the above-named child being dismissed from the team and could result in LEAGUE suspension. Parent or GuardianSignature:

To sign use a touch screen or computer mouse to sign
Parent or Guardian Electronic signature*
Emergency Contact and Medical Information for a Child
Child's Name*
First and Last
Child's Date of Birth*

MonthDayYear
Date
Child's Age*
Child's Sex*
Child's Grade Completed as of 8/1/26*
1st Parent's/Guardian's Name*
Cell Phone*
Parent/Guardian 1Format: (000) 000-0000.
ALT Phone
Parent/Guardian 1Format: (000) 000-0000.
2nd Parent's/Guardian's Name
Cell Phone
Parent/Guardian 2Format: (000) 000-0000.
ALT Phone
Parent/Guardian 2Format: (000) 000-0000.
Alternative Emergency Contacts
Secondary Emergency Contact*
NOT ONE OF THE PARENTS/GUARDIANS ABOVE. SOMEONE WE CAN CONTACT IF WE CANNOT GET A HOLD OF YOU.
Phone Number for Secondary Contact*
Format: (000) 000-0000.
Hospital/Clinic Preference*
Phone Number*
Format: (000) 000-0000.
Physician's Name*
Phone Number*
Format: (000) 000-0000.
Dentist's Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Allergies/Special Health Considerations *
N/A if none apply
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies in the event that neither parent/guardian can be reached in the case of an emergency.
Parent's/Guardian's Signature*
Parent Name*
Date*

MonthDayYear
Date

PARENTS CODE OF CONDUCT
I hereby pledge that I will follow the rules set forth by the Lisbon Little Blue Devils Football League in accordance with the Parent Code of Conduct that has been established in the leagues by-laws.
- Parents will make NO negative or derogatory comments on social media, public or personal accounts toward the LLBD Board, Coaches, Players or Cheerleaders, or Parents. This also includes internet/social media comments.
- Parents will place the emotional and physical well-being of the players ahead of any personal desire to win.
- Parents will treat each individual player with respect, remembering the range of emotional and physical development of the team.
- Parents will do their best to ensure the safety of all those who participate in the sporting event.
- Parents will do their best to ensure that my child attends all practices/games and acknowledge that they made a commitment to play Football &/OR Cheer. In addition, I will ensure that my child acts appropriately during these times.
- Parents will always demonstrate fair play and good sportsmanship. No matter how bad the situation becomes, I must never become out of control.
- Parents will do my best to treat the players, coaches, and officials with respect in the same manner, as they would treat their own children.
- Parents agree to VOLUNTEER their time to help the Lisbon Little Blue Devils by helping during fundraisers and games. I will help in the concession stand during games, clean-up after games, and/or any money-making events. I understand my child benefits from these activities.
- Above all, parents will remember that they are a youth sports parent and that the game is FOR the children no matter what the outcome is - Parents are to remain positive in all aspects to maintain an enjoyable and productive youth football program.
Parent's Name*
Parent Signature*
Date*

MonthDayYear
Date
Release of Liability for Minor Participants
In consideration of my minor child/ward ("my child"), being allowed to participate in the LISBON LITTLE BLUE DEVILS program, related events and activities, the undersigned acknowledges, appreciates, and agrees that*
Child Name Here
FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL
- The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child's participation; and 3. I willingly agree to comply with the program's stated and customary terms and conditions for participation. IfI observe any unusual significant concern in my child's readiness for participation and /or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 4.I myself, my spouse, and my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE the Lisbon Little Blue Devils Association other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child's involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIEGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 5.I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Parent's/Guardian's name*
First and Last
Parent/Guardian Signature*
Date*

MonthDayYear
Date

Sudden Cardiac Arrest and Lindsay's Law Parent/Athlete Signature Form

What is Lindsay's Law? Lindsay's Law is about Sudden Cardiac Arrest (SCA) in youth athletes. It covers all athletes 19 years or younger who practice for or compete in athletic activities. Activities may be organized by a school or youth sports organization. Which youth athletic activities are included in Lindsay's law?

Athletics at all schools in Ohio (public and non-public) Any athletic contest or competition sponsored by or associated with a school All interscholastic athletics, including all practices, interschool practices, and scrimmages All youth sports organizations All cheerleading and club sports, including noncompetitive cheerleading What is SCA? SCA is when the heart stops beating suddenly and unexpectedly. This cuts off blood flow to the brain and other vital organs. People with SCA will die if not treated immediately. SCA can be caused by 1] a structural issue with the heart OR 2) a heart electrical problem that controls the heartbeat, OR 3) a situation such as a person who is hit in the chest or gets a heart infection. What is a warning sign for SCA? If a family member died suddenly before age 50, or a family member has cardiomyopathy, long OT syndrome, Marfan syndrome, or other rhythm problems of the heart. What symptoms are a warning sign of SCA? A young athlete may have these things with exercise:

Chest pain/discomfort Unexplained fainting/near fainting or dizziness

Unexplained tiredness, shortness of breath, or difficulty breathing

Unusually fast or racing heartbeats

What happens if an athlete experiences syncope or fainting before, during, or after a practice, scrimmage, or competitive play? The coach MUST remove the youth athlete from activity immediately. The youth athlete MUST be seen and cleared by a health care provider before returning to activity. This written clearance must be shared with a school or sports official. What happens if an athlete experiences any other warning signs of SCA? The youth athlete should be seen by a health care professional. Who can evaluate and clear youth athletes? A physician (MD or DO), a certified nurse practitioner, a clinical nurse specialist, certified nurse-midwife. For school athletes, a physician's assistant or licensed athletic trainer may also clear a student. That person may refer the youth to another health care provider for further evaluation. What is needed for the youth athlete to return to the activity? There must be clear from the health care provider in writing. This must be given to the coach and school or sports official before return to activity. All youth athletes and their parents/guardians must view the Ohio Department of Health (ODH) video about Sudden Cardiac Arrest, review the ODH SCA handout and then sign and return this form
Student's Name*
First and Last
Parent's/Guardian's Name*
First and Last
Parent/Guardian Signature*
Date*

MonthDayYear
Date

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATI AGREEMENT
In consideration of being allowed to participate on behalf of Lisbon Little Blue Devils athletic program and related events and activities, the undersigned acknowledges; appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4.I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Parent's Name*
Signature*
Date*

MonthDayYear
Date

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child's/ward's presence or participation in these activitiés as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

Note: This is a sample waiver form only. Final wording should be directed by the insured's legal counsel but must observe the principles represented within the above. The signed waiver/release should be kept on file by the sports organization for at least 7 years and possibly longer if the player has contracted a serious illness.
Name of Parent/Guardian*
First and Last
Parent guardian/signature*
Date*

MonthDayYear
Date

UNDERSTANDING OF RISK
IN CONSIDERATION OF my child/ward being allowed to Name of Minor Child/Ward participate in any way in the Lisbon Little Blue Devils related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and. 1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child's participation; and, 2.1 willingly agree to comply with the program's stated and customary terms and conditions for participation Ifl observe any unusual significant concern in my child's readiness for participation and/or in the program itself, 1 will remove my child from the participation and bring such attention of the nearest official immediately; and, 3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Lisbon Little Blue Devils; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my child's involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4.I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE to the fullest extent permitted by law. 5.I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations and that my child/ward understands this agreement.

I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant.

NOTE: This is a SAMPLE WAIVER FORM only. Final wording should be as directed by the insured's counsel, but must observe the principles represented within the above. This form provided courtesy of K&K Insurance Group.
Name of Parent/Guardian*
Parent/Guardian Signature*
Date*

MonthDayYear
Date

Here on JOTFORM (for the league to print) using the Browse Files Option following this questionas HARD COPIES (will not be returned to you) to the secretary at a time provided.
-Birth Certificate -Report card from last 9 weeks of school -photo *Pre-k athletes will need to provide proof of kindergarten registration*

If you fail to submit these documents here, you will be REQUIRED to give hard copies to the League.
Cancelof

My Products*

Registration

Football/Cheerleading

Until May 31st - Price will increase to $100

*Your athlete will not be registered for the sport until the registration fee and the household volunteer fee are both paid*

$80.00

Mandatory Household Volunteer Fee

Volunteer Fee

I understand that I must pay this $50.00 as a volunteer fee (ONE TIME PER HOUSEHOLD). I also understand that if I volunteer at 2 events I will be refunded this $50.

*Your athlete will not be registered for the sport until the registration fee and the household volunteer fee are both paid*

$50.00

PREVIOUSLY PAID - Volunteer Fee

I understand that I must pay this $50.00 as a volunteer fee (ONE TIME PER HOUSEHOLD). I also understand that if I volunteer at 2 events I will be refunded this $50.

*Your athlete will not be registered for the sport until the registration fee and the household volunteer fee are both paid*

$ Free

Enter coupon

Total

$0.00

Please follow us on Facebook @LisbonLittleBlueDevils

We look forward to a great season with you!
Should be Empty:

Emergency Contact and Medical Information for a Child

PARENTS CODE OF CONDUCT

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATI AGREEMENT

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

UNDERSTANDING OF RISK

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