2020 NFL Flag Youth Football Registration & Waiver
Please complete this form to register. The cost per player will be $55 which includes a reversible NFL Flag jersey, flag belt and two flags, and six games in the 2020 season (schedule coming soon). The fees will be due to D.W. Wilson Center no later than September 30th payable to City of Tullahoma. Your player will be assigned a team and coach on September 30th, and the opening game will be Saturday, October 10th. Email firstname.lastname@example.org or call 455-1121 with questions.
Jersey sizes run fairly true to size or slightly larger than normal.
Has your child played organized football before?
We played NFL Flag with you last year
Primary Parent Name:
Primary Parent/Guardian/Responsible Adult Phone Number:
Secondary Parent/Guardian/Responsible Adult Name:
Secondary Parent/Guardian/Responsible Adult Phone Number:
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
In consideration for my being permitted to participate in the activities and or event of the City of Tullahoma, I agree to the following Accident Waiver and Release of Claims and Liability. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I and/or my child/ward are physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude me or my child/ward’s participation in this activity. I acknowledge that this Accident Waiver and Release of Claims and Liability will be used by but not limited to the event holders, sponsors, and organizers of the activity in which I and/or my child/ward may participate, and that it will govern my and/or my child/ward’s actions and responsibilities at said activity. In consideration of my application and permitting me and/or my child/ward to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability that I and/or my child/ward may sustain as a result of coming to the event, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my and/or my child/ward’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me and/or my child/ward including my and/or my child/ward traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: the City of Tullahoma, and/or their directors, officers, employees, volunteers, representatives, agents, the activity holders, sponsors, volunteers, vendors, landlord, successors, cities, towns, states, other governmental bodies, locations in which the event or portions of the event take place, and representatives of all of the above; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this agreement from any and all liabilities or claims, causes of action, obligations, lawsuits, charges, complaints, contracts, controversies, covenants, agreements, promises, damages, costs, expenses, responsibilities, of whatsoever kind, nature or description, whether, direct or indirect, in law or in equity, in contract or in tort, or otherwise, whether known or unknown, whether caused by the negligence of release or otherwise that arise from participating in this activity. I acknowledge that the City of Tullahoma, and including but not limited to their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent for myself and/or my child/ward to receive medical treatment which may be deemed advisable by a medical professional in the event of injury, accident, and/or illness during this activity. This release extends to any liability arising out of or in any way connected with the medical treatment and transportation provided in the event of an emergency. I and/or my child/ward agree to conduct ourselves in a professional manner and treat everybody at the activity including but not limited to participants, spectators, and officials respectfully. I understand that if disciplinary action is taken against me and/or my child/ward, I and/or my child/ward may be suspended from the activity and future activities. I understand while participating in this activity I and/or my child/ward may be photographed and/or videotaped. I agree to allow my child/ward’s and/or my appearance, voice, name, photograph, video, or film likeness to be used for any legitimate purpose such as but not limited to promotional, advertising, and marketing purposes by the activity holders, producers, sponsors, organizers, and assigns. Any and all photographs, recordings, or other records of the event are the sole property of the City of Tullahoma. Every term and provision of this agreement is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable. The Accident Waiver and Release of Liability Form is a legally binding agreement and shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I am of sound mind and body and not under the influence of alcohol or any illicit or prescription drug or medication which may in any way impair my ability to enter into this agreement. I fully understand the respective intent and meaning of all of the terms and provisions hereof and to participate in the Activity. I understand that by signing below, I have given up substantial rights. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL FOR MYSELF AND/OR FOR MY CHILD/WARD without coercion or duress.
I agree to the terms and conditions
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