NFL Flag Valencia Summer Registration Form

Player Full Name*

First NameLast Name

Player Date of Birth*

Date

FemaleMale

Age Division*

Female (SPECIAL INAUGURAL SEASON $129)Coed (Summer Season $199)

Jersey Size*

Jersey Number

Parent/Guardian Full Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

Parent/Guardian Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Medical Conditions (if any)

Allergies (if any)

Any special requests - coach, friend, sibling. We will do our best to accomodate

Emergency Contact Name*

First NameLast Name

Emergency Contact Relationship*

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

If you would like to be a Head or Assistant Coach, or would like more details please enter your full name and a contact number:

Registration is not complete until payment is submitted.

Please send payment through Zelle to sevenflagsfootball@gmail.com (add player name in the notes)

Zelle $129.00 Female League

Zelle $199.00 Coed League

For Credit card payments below, a 3.8% cc fee is added. Prices are indicated below.

For any difficulties, please contact sevenflagsfootball@gmail.com or 310-425-2924.

Registration includes jersey and flag belt!

Payment

Female Flag Special

$134.00 Quantity

Coed

$207.00 Quantity

Total

$0.00

Credit Card

Assumption of Risk - I understand that participation in flag football involves inherent risks, including but not limited to falls, collisions, and injuries. I voluntarily assume all risks associated with participation.Medical Authorization - In the event of an injury or medical emergency, I authorize league staff to obtain medical treatment for my child if I cannot be reached.Waiver & Release of Liability - I hereby release and hold harmless the league, its organizers, coaches, volunteers, facilities (including College of the Canyons and all partnered locations), and affiliates from any and all liability, claims, or demands arising from participation in the league.Payment Policy - I understand that registration is not complete until is received. All payments are non-refundable unless otherwise stated by the league.Code of Conduct - I agree that my child, family members, and guests will demonstrate good sportsmanship at all times. The league reserves the right to remove any participant or spectator for inappropriate behavior.Scheduling & Changes - I understand that schedules, teams, and locations may be subject to change due to weather, field availability, or other circumstances.Media Release - I grant permission for my child's image, video, and likeness to be used in league promotions, social media, and marketing materials.

Signature of Parent/Guardian*