COLONIAL HEIGHTS YOUTH FOOTBALL ASSOCIATION 2025 GIRLS FLAG REGISTRATION FORM
Check one:
Football
Cheerleading
Girls Flag
As the parent/guardian of the child named below, I hereby agree to have my child join the Colonial Heights Youth Football Association (CHYFA) and participate fully in the athletic program. We shall abide by all the rules, regulations, expectations and fully support the league.
Please print clearly as this information may be used for roster, programs, and personalized items throughout the season.
Name of Child:
First Name
Last Name
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email Address:
example@example.com
Primary Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School and Grade in the Fall:
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Month
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Day
Year
Date
Age 1/01/25 (Football):
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Month
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Day
Year
Date
** PLAYERS/CHEERLEADERS must show proof age at the time of registration. To play football a child must be at least 7 years of age by 07/31/25 and not older than 12 years of age on 07/31/25 to participate. To cheer a child must be at least 5 years of age by 07/31/25 and not older than 15 years of age on 07/31/25 to participate.
Siblings in this organization (including football and/or cheer):
Name
Relationship
Medical Conditions: Participation in football requires the ability to run, tackle, block, catch a football and understand the rules of the game. Participation in cheerleading involves the ability to run, jump, tumble and understand instruction. Does your child have any current condition that limits his or her ability to participate in these activities?
Does your child have any current condition that limits his or her ability to participate in these activities?
Yes
No
If yes, please explain:
Emergency Contact Information: Name:
Relationship:
Cell Phone:
Format: (000) 000-0000.
If you are interested in coaching or team parenting, please circle
Please list any fundraising, donation, or sponsorship ideas you may have:
Do you have any other information about your child or suggestions and comments you would like to share with CHYFA please do so here?
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COLONIAL HEIGHTS YOUTH FOOTBALL ASSOCIATION 2025 GIRLS FLAG REGISTRATION FORM
Photo release statement: I also hereby consent, without further consideration or compensation, to the use (full/partial) of all photos, audios or videos made of my child or family members during CHYFA sporting events, for the purposes of event documentation, promotional materials, or web content. Further, I release CHYFA and its volunteers from any liability which may arise from the use of those photos. Initials:
Date:
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Month
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Day
Year
Date
Parent Volunteer Participation IS REQUIRED: I/we understand that Colonial Heights Youth Football Association is a volunteer non-profit organization. It takes many individuals and group effort to maintain and keep an athletic organization running efficiently. The present and future success of the program is dependent upon your support. I/we understand that, when necessary, I/we may HAVE TO volunteer at some point throughout the season. Initials:
Date:
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Month
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Day
Year
Date
I/we understand that no parent, guardian or relative of the child registered above is permitted on the practice or game field during the games or practices without proper approval from Colonial Heights Youth Football Association. Initials:
Date:
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Month
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Day
Year
Date
Fundraising IS REQUIRED: I/we understand that ALL CHYFA football players and cheerleaders are required and expected to participate in all fundraising activities. Fundraising helps keep costs down. I assume full responsibility for all items given to my child for sale and will ensure that all monies will be turned in as required or items will be returned in good condition. Initials:
Date:
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Month
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Day
Year
Date
Equipment Return: We guarantee the return of all equipment loaned to our child and accept responsibility for the loss or damage of said equipment. I understand that if my child quits or I cannot make the organized turn in it is my responsibility to return the equipment and uniforms to CHYFA. I/we understand that if any equipment is not turned in there will be a $500.00 fee accessed to the account. Initials:
Date:
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Month
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Day
Year
Date
Fees: ALL Fees collected by CHYFA are
NON-REFUNDABLE!
Currently, we accept cash, check and Cashapp only. There is a return check fee of $100.00 should a check return for any reason.
All registration fees MUST be paid at time of registration and ALL package fees due by August 1, 2025. NO EXCEPTIONS! This is to ensure we can order and have everything on time. Should you pay after this date you may be subject to pay additional fees.
REGISTRATION FEE per child is
$100.00 per child.
This fee helps cover the cost of league dues, league insurance, licensing, referee fees, equipment maintenance, field rental, background checks, printing, advertising, Cheer Expo fees, uniform, and any other misc. expenses.
Uniform Registration Package will include the uniform, headgear, and flags (to keep). Any other parts of the uniform (cleats, gloves, etc.) are optional at parents' discretion.
Initials:
Date:
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Month
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Day
Year
Date
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COLONIAL HEIGHTS YOUTH FOOTBALL ASSOCIATION 2025 GIRLS FLAG REGISTRATION FORM
A SIGNED RELEASE OF LIABILITY MUST ACCOMPANY YOUR REGISTRATION.
In consideration of allowing our said child to participate in these activities, the undersigned parent(s) and/or guardian(s) of said child, a minor, we do forever release, discharge, and covenant to hold harmless the Colonial Heights Youth Football Association officers, officials, or coaches/sponsors from any and all claims, demand damages, costs, expenses, loss of services, acts and causes of action belonging to said minor of the undersigned, arising from, losses or damages of any kind sustained or that may occur hereafter as a consequence of participation in said activities its related events and activities, the undersigned, acknowledges, appreciates, and agrees that:
1) The risk of injury from the activities involved in this program is significant, including the potential risk for permanent paralysis and death, and while rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist; and
2) 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 participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe an unusual and significant hazard during my presence or participation, I will bring such to the attention of the nearest league official immediately; and
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, herby release, indemnify, and hold harmless Colonial Heights Youth Football Association, its officers, officials, agents and/or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise, to the fullest extent permitted by law.
5) If a child leaves a practice or game for any medical reason, he or she cannot return without medical clearance from a physician.
6) At any time, a coach can require medical clearance to be able to participate or play at his/her own discretion.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Signature of Parent(s) / Guardian
Date:
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Month
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Day
Year
Date
Witness:
Date:
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Month
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Day
Year
Date
For organizational use only:
Registration paid on date:
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Month
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Day
Year
Date
Package Fee paid on date:
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Month
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Day
Year
Date
Amount Paid:
Amount Paid:
Cash/Check:
Cash/Check:
Receipt #:
Receipt #:
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RELEASE OF LIABILITY FOR MINOR PARTICIPANTS
READ BEFORE SIGNING
IN CONSIDERATION OF my minor child listed below being allowed to participate in any way in the Colonial Heights Youth Football Association (CHYFA) and its member associations 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. I willingly agree to comply with the program's stated and customary terms and conditions for participation. If I 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,
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 Colonial Heights Youth Football Association (CHYFA) and its member associations 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: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child understands this agreement.
I, FOR MYSELF, MY SPOUSE, AND CHILD, 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.
UNDERSTANDING OR RISK
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.
Name of Participant:
Name of Parent/Guardian:
Parent/Guardian Signature:
Date Signed:
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Month
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Day
Year
Date
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Colonial Heights Youth Football AssociationCode of Conduct Form
Football/Cheerleader Player Code of Conduct
I am accountable for the results of my behavior toward my teammates, coaches and game officials.
I will respect other participants, coaches and game officials at all times. When my team scores a touchdown, the ball will be handed to the official before celebrating.
When I make a great play, I will not embarrass my opponent.
I will honor the sport and opponents by playing within the rules during games and practices.
I will respect the game and not use foul language at any time.
I agree to put my team first and put forth my best effort on the field in support of team goals.
I agree to give my best effort in the classroom and listen to my teachers.
Player Signature
Print Name
Date
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Month
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Day
Year
Date
Parent/Guardian Code of Conduct
I agree to support our team in a positive manner and showcase good sportsmanship toward all players, coaches, parents and game officials.
I will respect the coaches' commitment to coach my child and will not interfere with on-field instruction during practices or games.
I will respect the game officials' commitment and will not interfere or question calls made during games.
I will address any concerns with the head coach in private, away from the field and in a positive manner.
I will support the coaches and do my best to ensure that my child arrives at practice and games on time.
I will teach my child to play by the rules and respect teammates, opponents, game officials and coaches.
I will cheer for our team in a positive manner regardless of the outcome of the game.
Parent/Guardian Signature
Print Name
Date
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Month
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Day
Year
Date
Injury Process
When my child is injured during practice or a game and seeks medical attention or is under doctor care, I will bring a note from the Doctor allowing them to return to play football or cheer.
I understand my child will not participate unless a doctor's note is submitted to the coach prior to game day.
Parent/Guardian Signature
Print Name
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