WB Youth Football & Cheer Registration Form

Pick one:

Age Level:

Child's Name

First NameLast Name

Child's D.O.B

Age:

Shirt Size:

Tackle Pants Size:

Parent's Name

First NameLast Name

Phone Number

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

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Number

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

Where does the child/children attend school?

Home School DistrictGrade

Waiver & Release & Liability

Waiver & Release of Liability

I, the undersigned, acknowledge that participation in football and cheerleading activities involves inherent risks of injury, including but not limited to sprains, strains, fractures, concussions, and in rare cases, more serious or fatal injuries.

In consideration of being allowed to participate in any way in the above-referenced program, related events, and activities, I hereby agree to:

Assume All Risks: I voluntarily assume all risks associated with participation, whether known or unknown to me, including travel to and from activities.

Release of Liability: I release, waive, discharge, and covenant not to sue the organizers, coaches, volunteers, officials, sponsors, affiliated organizations, and other participants from any and all liability, claims, demands, losses, or damages on account of injury, including death or property damage.

Medical Treatment Authorization: I authorize the organization to secure medical treatment for the participant in case of an emergency. I understand that I am responsible for any medical expenses incurred.

Fitness to Participate: I certify that the participant is physically fit and able to safely participate in football or cheerleading activities. I have disclosed all relevant medical conditions to the organization.

Use of Likeness: I grant permission for the participant’s image and/or voice to be used in photos, videos, or other media for promotional purposes.

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

Allery / Medical Conditions

Code of Conduct

For Athletes & Cheerleaders

Respect all coaches, teammates, officials, opponents, and spectators at all times.

Maintain good sportsmanship on and off the field, including during practices, games, and events.

Follow instructions from coaches and staff without argument or defiance.

Avoid inappropriate language, gestures, or behavior.

Attend practices and games on time and with the proper gear/uniform.

Report any injuries or concerns to a coach or adult immediately.

Refrain from bullying, harassment, or exclusion of any team members.

For Parents/Guardians

Support your child with positive encouragement, regardless of the outcome.

Respect the authority of coaches and officials; do not interfere with practices or games.

Refrain from coaching your child or other players during games unless you are an official coach.

Communicate respectfully with coaches about concerns at an appropriate time and setting.

Ensure your child arrives on time and is picked up promptly.

Support a safe and inclusive environment for all children.

For Coaches (if applicable)

Lead by example in demonstrating fair play and respect.

Create a positive, inclusive environment for all participants.

Communicate clearly and respectfully with players and parents.

Prioritize safety, development, and personal growth over winning.

Never engage in physical or verbal abuse, discrimination, or favoritism.

Consequences for Violations

Violations of this Code of Conduct may result in:

Verbal warning

Suspension from practices or games

Removal from the team or program without refund

By signing this document, I acknowledge that I have read, understand, and agree to follow the Code of Conduct outlined above.

I have read this Code of Conduct. 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

Volunteer Opportunities Our Football & Cheer Program can't run without the support of our amazing community—and we need your help! Whether you're a parent, family member, or community supporter, we have volunteer roles available both big and small.

LINDSAY'S LAW Sudden Cardiac Arrest and Lindsay’s Law Information for the Youth Athlete and Parent/Guardian • Lindsay’s Law is about Sudden Cardiac Arrest (SCA) in youth athletes. This law went into effect in 2017. SCA is the leading cause of death in student athletes 19 years of age or younger. SCA occurs when the heart suddenly and unexpectedly stops beating. This cuts off blood flow to the brain and other vital organs. SCA is fatal if not treated immediately. • “Youth” covered under Lindsay’s Law are all athletes 19 years of age or younger that wish to practice for or compete in athletic activities organized by a school or youth sports organization. • Lindsay’s Law applies to all public and private schools and all youth sports organizations for athletes aged 19 years or younger whether or not they pay a fee to participate or are sponsored by a business or nonprofit. This includes: 1) All athletic activities including interscholastic athletics, any athletic contest or competition sponsored by or associated with a school 2) All cheerleading, club sports and school affiliated organizations including noncompetitive cheerleading 3) All practices, interschool practices and scrimmages • Any of these things may cause SCA: 1) Structural heart disease. This may or may not be present from birth 2) Electrical heart disease. This is a problem with the heart’s electrical system that controls the heartbeat 3) Situational causes. These may be people with completely normal hearts who are either are hit in the chest or develop a heart infection • Warning signs in your family that you or your youth athlete may be at high risk of SCA: o A blood relative who suddenly and unexpectedly dies before age 50 o Any of the following conditions: cardiomyopathy, long QT syndrome, Marfan syndrome, or other rhythm problems of the heart • Warning signs of SCA. If any of these things happen with exercise, see your health care professional: • Chest pain/discomfort • Unexplained fainting/near fainting or dizziness • Unexplained tiredness, shortness of breath or difficulty breathing • Unusually fast or racing heart beats • The youth athlete who faints or passes out before, during, or after an athletic activity MUST be removed from the activity. Before returning to the activity, the youth athlete must be seen by a health care professional and cleared in writing. • If the youth athlete’s biological parent, sibling or child has had a SCA, then the youth athlete must be removed from activity. Before returning to the activity, the youth athlete must be seen by a health care professional and cleared in writing. • Any young athlete with any of these warning signs cannot participate in practices, interschool practices, scrimmages or competition until cleared by a health care professional. Other reasons to be seen by a healthcare professional would be a heart murmur, high blood pressure, or prior heart evaluation by a physician. • Lindsay’s Law lists the health care professionals who may evaluate and clear youth athletes. They are a physician (MD or DO), a certified nurse practitioner, a clinical nurse specialist or certified nurse midwife. For school athletes, a physician assistant or licensed athletic trainer may also clear a student. That person may refer the youth and family to another health care provider for further evaluation. Clearance must be provided in writing to the school or sports official before the athlete can return to the activity. • Despite everyone’s best efforts, sometimes a young athlete will experience SCA. If you have had CPR training, you may know the term “Chain of Survival.” The Chain of Survival helps anyone survive SCA. • Using an Automated External Defibrillator (AED) can save the life of a child with SCA. Depending on where a young athlete is during an activity, there may or may not be an AED close by. Many, but not all, schools have AEDs. The AEDs may be near the athletic facilities, or they may be close to the school office. Look around at a sporting event to see if you see one. If you are involved in community sports, look around to see if there is an AED nearby. • If you witness a person experiencing a SCA: First, remain calm. Follow the links in the Chain of Survival: v Link 1: Early recognition • Assess child for responsiveness. Does the child answer if you call his/her name? • If no, then attempt to assess pulse. If no pulse is felt or if you are unsure, call for help “someone dial 911” v Link 2: Early CPR • Begin CPR immediately v Link 3: Early defibrillation (which is the use of an AED) • If an AED is available, send someone to get it immediately. Turn it on, attach it to the child and follow the instructions • If an AED is not available, continue CPR until EMS arrives v Link 4: Early advanced life support and cardiovascular care • Continue CPR until EMS arrives • Lindsay’s Law requires both the youth athlete and parent/guardian to acknowledge receipt of information about Sudden Cardiac Arrest by signing a form.

I have read and understand Cardiac Arrest and Linday's Law (type in your name)

I understand if I DO NOT PAY my child's registration, my child will not be able to play Football or Cheer for the 2026 season.Flag Football & Cheer $60JV & Varsity Football & Cheer $95 question

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