NFL Flag Registration Form
Register your child in our upcoming NFL Flag event on Sunday, May 3rd. Please review the liability waiver before submitting. If any questions, contact: (914) 420-8344 or cohenzach175@gmail.com
Event Video
Parent or Guardian First Name
Parent or Guardian Last Name
Participant Full Name
*
First Name
Last Name
Participant Birthday
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Football Glove Size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Where did you hear from us?
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social media
word of mouth
flyer
other
Liability Waiver Text
In consideration of being allowed to participate in any way in this sports activity, related events and activities, the undersigned appreciates and acknowledges: 1) I understand the risk of injury or illness from the activities involved in this sport is significant, including the potential for permanent paralysis and death; and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury or illness does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM ALL NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation; and, by participating in the Robert Jacobson Sports Flag Football Camp, I hereby waive, release, and hold harmless Robert Jacobson Sports, its employees, volunteers, agents, and affiliates from any and all liability for injuries, damages, or losses sustained by my child or myself during camp participation. I agree not to file any legal claims or lawsuits against Robert Jacobson Sports for any incidents arising from the camp activities; and, 2) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and, 3) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Robert Jacobson Sports; their officers & directors, officials, agents,and/or employees, other participants, sponsoring agencies, commissions, sponsors, advertisers, volunteers, coaches, steerers, and, if applicable, owners and lessors of premises used to conduct club activities/ special event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 4) I also acknowledge that photographs and video may be taken of me in my participation in, and attendance at this event or club activity, and hereby freely agree to allow without restriction all uses of such photos and videos in the reporting of club activities, special race, and/or in the promotion of such, its location, other sporting events, sport in general, and/or related purposes. By signing below I acknowledge that 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 IT FREELY.
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