Colonial Heights Youth Flag Football Registration Form 2026

Check one:
Check one:
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 NameLast 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

CityState / Province

Postal / Zip Code
School and Grade in the Fall:
Child's Birth Date:

MonthDayYear
Date
Age 7/31/26 (Football):
** PLAYERS/CHEERLEADERS must show proof age at the time of registration. Football Players will not be permitted to participate in play in game one if a copy DMV/MILITARY ID has not been received by CHYFA prior to MYFL Roster Night NO EXPECTIONS. To play football a child must be at least 4 years of age by 07/31/26 and not older than 6 years of age after 07/31/26 to participate. To cheer a child must be at least 4 years of age by 07/31/26 and not older than 14 years of age on 07/31/26 to participate.
Siblings in this organization (including football and/or cheer):
Name of Parents or Guardians:

First NameLast 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?
If yes, please explain:
Emergency Contact Information: Name:

First NameLast Name
Relationship:
Cell Phone:
Format: (000) 000-0000.
If you are interested in coaching or team parenting, please circle YES or NO
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?

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:

MonthDayYear
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:

MonthDayYear
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:

MonthDayYear
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:

MonthDayYear
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:

MonthDayYear
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, 2026. 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 $125.00 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 to keep, headgear, and flags. Any other parts of the uniform (cleats, gloves, etc.) are optional at parents' discretion.
Initials:
Date:

MonthDayYear
Date
ALL FOOTBALL PLAYERS MUST HAVE A VALID DMV OR MILITARY ISSUED ID.

PLEASE BE SURE TO TURN TO HEAD COACH BEFORE the 1st DAY OF PRACTICE!
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 dearance 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:

MonthDayYear
Date
Witness:
Date:

MonthDayYear
Date
For organizational use only:
Registration paid on date:

MonthDayYear
Date
Amount Paid:
Cash/Check:
Receipt #:
Package Fee paid on date:

MonthDayYear
Date
Amount Paid:
Cash/Check:
Receipt #:

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:

MonthDayYear
Date
COLONIAL HEIGHTS YOUTH FOOTBALL ASSOCIATION
RELEASE AND WAIVER - 2026
Release and Waiver of Liability and Indemnity Agreement
I hereby acknowledge that I have voluntarily applied for my child,
Whose Date of Birth is
age as of 8/1/26 (7/15/26 for 6U flag). to participate in a youth football program, hereinafter referred to as "Activities", administered by Colonial Heights Youth Football Association (CHYFA) who is a participant association of the Metropolitan Youth Football League, herein after referred to collectively as the "the League". (Initial:
(Initial:
I am aware that the League has established age requirements for all football participants. I am aware that the Activities are hazardous, involving risk of serious bodily injury, death, or property damage and I am voluntarily consenting to my child's participation in these Activities with knowledge of the risks. I am specifically and expressly requesting and consenting to my child, , advancing to a level outside of his/her age bracket as defined in Section 2 - Football Divisions with Ages and Weights of the League's Rules and Regulations. I expressly assume the risk of injury to my child from the activities involved in these Activities and understand the risk 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. (Initial:
(Initial:
As lawful consideration for being permitted by the League engaging in these Activities or any of its officers, agents, servants, volunteers, leaders, activity participants, or employees, herein referred to as Releasees, to participate in these activities and/or use their equipment, the undersigned does for him/herself, his/her heirs, executors, administrators, legal representatives, guardians, distributes, and assigns, collectively referred to as Releasors, hereby release, waive, discharge, and relinquish any

action or causes of action for personal injury, property damage, or wrongful death which may hereafter arise from the Activities or any pursuit incidental thereto wherever or however said pursuit may occur and for any period said Activities and pursuits may continue. (Initial: _________)
The undersigned further agrees that under no circumstances will Releasors prosecute or present any claim against Releasees for any causes of action, for personal injury, property damage, or wrongful death, whether the same shall
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arise by the negligence or non-intentional conduct of any of said Releasees from the Activities or any pursuit incidental thereto. (Initial: _________)
The undersigned and the remaining Releasors hereby agree to indemnify, save and hold harmless the Releasees and each of them from any loss, liability, damage or cost (including attorney fees) which Releasees may incur as a result of injury, death, or property damage to the undersigned, or from suit from such personal injury, death, and/or property damage to the undersigned. (Initial: _________)
This agreement is intended to be as broad as is permissible under the law of the Commonwealth of Virginia and this agreement shall be interpreted under the laws of the Commonwealth of Virginia. (Initial:_________)
If any portion of this agreement is invalid and/or is declared to be invalid by a Court of Law, it is agreed that the balance of the agreement shall continue in full force and effect. (Initial:
The undersigned has read and voluntarily signs the release and waiver of liability and indemnity agreement and further agrees that no oral representations, statements, or inducements apart from the foregoing written agreement have been made. (Initial: _________)
I will be personally responsible for my own safety during these activities and assume all risks and accept full and complete responsibility for all damages and personal injury of any kind, including death. This

agreement must be signed by all participants seeking exceptions to participate at a level above the stated
Age and Weight requirements as a condition for participation, which in my opinion makes this agreement
a reasonable contract. (Initial:)
The undersigned acknowledges that he/she has read the foregoing paragraphs and is completely aware
of the potential dangers incident to engaging in the activities and is fully aware of the legal
consequences of signing the within instrument. (Initial:
Printed Name of Child:
Age:
Parent or Guardian Printed Name:
Parent or Guardian Signature:
Date

MonthDayYear
Date
Should be Empty:

PLEASE BE SURE TO TURN TO HEAD COACH BEFORE the 1st DAY OF PRACTICE!

A SIGNED RELEASE OF LIABILITY MUST ACCOMPANY YOUR REGISTRATION.

For organizational use only:

RELEASE OF LIABILITY FOR MINOR PARTICIPANTS

READ BEFORE SIGNING

UNDERSTANDING OR RISK

COLONIAL HEIGHTS YOUTH FOOTBALL ASSOCIATION

RELEASE AND WAIVER - 2026

Release and Waiver of Liability and Indemnity Agreement