13U Fall 2024 Registration

13U Fall 2024 Registration

Official Participation Contract, Tracking and ID Card
Player Name*

Last Name First Name
Preferred Nickname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Birthdate*

MonthDayYear
Date
Age as of 7/31/2024*
Parent/Guardian*

First NameLast Name
Grade in Fall 2024*
School in Fall *
School Phone Number *
Please enter a valid phone number.
Parent Email*
example@example.com
Medical Insurance*

YesNo
Name of Insurance Carrier
Policy #
Football/Cheer*

FootballCheer
PERMISSION TO PARTICIPATE
I, the parent/guardian of the above-named participant, do hereby give my approval for my child/ward to participate, and further assert that I have verified with my child/wards physician, and in my opinion, my child/ward is physically fit and can participate without limitation in any and all Local, Regional, National, League/Conference, Association and team/squad activities, including transportation to and from the activities by a licensed driver.
Initial *

Clear
SCHOLASTIC FITNESS
I am of the opinion that my son/daughter/ward is scholastically fit and would benefit by participation in this program. I agree to submit a copy of my son/daughter/ ward's last completed grade, end of year/last complete report card or a written statement of scholastic fitness from the school administration.
Initial *

Clear
HELMET WAIVER (for football participants)
We acknowledge, AND WE understand the risks involved in my CHILD/WARD, my playing FOOTBALL, which is a collision sport; the NOCSAE committee has adopted the following warning to be read by, and signed by, both the parent/guardian and participant. DO NOT USE THIS HELMET TO BUTT, RAM OR SPEAR AN OPPOSING PLAYER, THIS IS IN VIOLATION OF FOOTBALL RULES AND CAN RESULT IN SEVERE HEAD, BRAIN OR NECK INJURY, PARALYSIS OR DEATH AND POSSIBLE INJURY TO YOUR OPPONENT, THERE IS A RISK THAT THESE INJURIES MAY ALSO OCCUR AS A RESULT OF AN ACCIDENTAL CONTACT WITHOUT INTENT TO BUTT, RAM OR SPEAR, NO HELMET CAN PREVENT ALL SUCH INJURIES.
Parent Initials*

Clear
Player Initials *

Clear
EQUIPMENT RESPONSIBILITY
I assume full responsibility for any and all equipment/uniforms loaned to my child/ward and I agree to promptly return, upon request, the uniform and other equipment in as good condition as when received except for normal wear and tear. If I fail to adhere to this policy, I will be responsible for and promptly pay the replacement cost of such equipment.
Initial *

Clear
CODE OF CONDUCT
The Ideology Of Youth Sports Including This Program Is To Promote Good Understanding And Fundamental Knowledge Of The Sport. It Is Also Critical That Good Sportsmanship Including The Ability To Always Conduct Oneself In An Appropriate Manner Of Positive Accord Both On And Off The Field. It Is Understood That Any Incident Considered Detrimental To The Pursuit Of This Ideology Will Not Be Tolerated. It Will Be Addressed In Accordance With The Statutes Of The Association, Conference, Current National Affiliation, State and Local Laws, And May Result In Dismissal From The Program And The Inability To Participate In Any Future Related Activities Of The Association. This Code Of Conduct Applies To All Involved With The Program Including But Not Limited To, The Football Players, Cheerleaders, Spirit Participants, Parents And Guardians.
Initial *

Clear
Print Parent/Guardian Name*
Parent/Guardian Signature *

Clear
Date Signed *

MonthDayYear
Date

UNITED YOUTH FOOTBALL AND CHEER

Medical Clearance Form
The following information will be used in the event that a parent / legal guardian is not available. The purpose of this information is to provide a quick reference for medical personnel should the need arise. Please fill out this form completely. If a particular question is not applicable write "none", n/a, or other appropriate comment otherwise none will be assumed. If additional space is needed, please use the back of this form. It will be the responsibility of the parent/legal guardian to notify the participants coach and league/event officials if any information needs to be added, deleted, changed, or updated in any way.
Participant Name *
Nickname
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Name
Father's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Phone Number
Please enter a valid phone number.
Father's Employer
Father's Email
example@example.com
Mother's Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Employer
Mother's Email
example@example.com
Mother's Phone Number
Please enter a valid phone number.
Guardian's Name
Guardian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian Email
example@example.com
Guardian's Employer
Guardian's Phone Number
Please enter a valid phone number.
Emergency Contact #1 Name *
Emergency Contact #1 Relationship *
Emergency Contact #1 Phone *
Please enter a valid phone number.
Emergency Contact #2 Name *
Emergency Contact #2 Phone Number*
Please enter a valid phone number.
Emergency Contact #2 Relationship *
Insurance Carrier Name
Group
Group #
Policy Holder Name
Policy #
Physician's Name *
Physician City/State*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physician Phone Number*
Please enter a valid phone number.
Preferred Hospital #1
Preferred Hospital #2
Please List Any Medical Conditions (Allergies, Asthma, Etc.) And Medications Being Taken By The Participant Named Above.
Please List Any Other Information You May Deem Relevant, And Helpful To Emergency Medical Personnel: (Please Note If No Information Is Given And The Words "None" Or "N/A" Is Not Filled In Then, "None" Will Be Assumed.
Allergies
Medical Conditions
Other
The Participant named above has my permission to participate in any and all, Gr8 Elite and, United Youth Football and Cheer program(s) sanctioned event(s), be they official or unofficial, including but not limited to, athletic, social and/or fundraising activities. I further hereby authorize any first aid, emergency treatment, including but not limited to transportation to and from health care facilities and/or any licensed
physician to provide treatment, order injections, hospitalize, give anesthesia or perform surgery. I understand that this authorization is given prior to any need for medical care, but given to avoid unnecessary delay in emergency
treatment which the physician may deem advisable in the exercise of best judgment.
Type Parent/Guardian Name*
Signature*

Clear
Date*

MonthDayYear
Date

UNITED YOUTH FOOTBALL AND CHEER

Registration Contract
Player Name*

First NameLast Name
Preferred Nickname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Birthdate*

MonthDayYear
Date
Current Age*
Age as of 7/31/2024*
Parent/Guardian Name *

First NameLast Name
Grade in Fall 2023*
School in Fall 2023*
School Phone Number*
Please enter a valid phone number.
Parent Email *
example@example.com
Football or Cheer*

FootballCheer
SCHOLASTIC FITNESS
I Am Of The Opinion That My Son/Daughter/Ward Is Scholastically Fit And Would Benefit By Participation In This Program. I Agree To Submit A Copy Of My Son/Daughter/ Ward's Last Completed Grade, End Of Year/Last Complete
Report Card Or A Written Statement Of Scholastic Fitness From The School Administration.
Initial *

Clear
CODE OF CONDUCT
The Ideology Of Youth Sports Including This Program Is To Promote Good Understanding And Fundamental Knowledge Of The Sport. It Is Also Critical That Good Sportsmanship Including The Ability To Always Conduct Oneself In An Appropriate Manner Of Positive Accord Both On And Off The Field. It Is Understood That Any Incident Considered Detrimental To The Pursuit Of This Ideology Will Not Be Tolerated. It Will Be Addressed In Accordance With The Statutes Of The Association, Conference, Current National Affiliation, State and Local Laws, And May Result In Dismissal From The Program And The Inability To Participate In Any Future Related Activities Of The Association. This Code Of Conduct Applies To All Involved With The Program Including But Not Limited To, The Football Players, Cheerleaders, Spirit Participants, Parents And Guardians.
Initial *

Clear
Type Parent/Guardian Full Name *
Signature*

Clear
Date*

MonthDayYear
Date

Participation contract
ATHLETIC WAIVER & RELEASE
In consideration of Gr8 Elite, my child/ward, being allowed to participate in any way in the United Youth Football and Cheer, Inc. (UYFL) and/or my Local YFL Affiliate(s), athletic sports program(s), Full Contact Tackle Football, Cheerleading, Dance,
Step, Local, Regional, or National related events and activities, the undersignedacknowledges, appreciates, and agrees that:
The risk of injury to my child/ward, myself, from the activities involved in these programs is significant, including the potential for permanent
disability, paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does
exist; and,
- I, FOR MYSELF, SPOUSE, AND CHILD/WARD, BY MY SIGNATURE BELOW DO, 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 myself, my child/wards’, participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant
  concern in my child/wards’, my own, readiness or, hazard during my presence or participation, and/or in the program itself, I will remove myself,
  child/ward, from participation and bring such to the attention of the nearest official immediately; and,
- I, for myself, my spouse, my child/ward, and on behalf of my/our heirs, assignee(s), personal representatives and next of kin, HEREBY RELEASE,
  INDEMNIFY, AND HOLD HARMLESS United Youth Football and Cheer, Inc. (UYFL), my Local UYFL Affiliate(s), their officers, directors,
  officials, volunteers, agents, and/or employees, other participants, sponsoring agencies, tournament host, sponsors, advertisers, partners, and if
  applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, incident to my child/wards', my own involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
- I, for myself, my spouse, my child/ward, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY
  AND HOLD HARMLESS all the above Releases from any and all liabilities incident to my child/ward's involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS WAIVER AND 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 AND VOLUNTARILY WITHOUT ANY INDUCEMENT
Parent/GuardianType Name*
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
UNDERSTANDING OF RISK - (Minor Childs Acknowledgment/Understanding of the 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.
Minor Participant Type Name*
Minor Participant Signature *

Clear
Date*

MonthDayYear
Date
CONSENT TO TREAT
I Hereby my signature grant permission for myself or my child/ward to participate in any and all, United Youth Football and Cheer, Inc. (UYFL) and/or my Local UYFL Affiliate(s), program(s) sanctioned event(s), be they official or un official, including but not limited to, athletic, social and/or fundraising activities.
I further hereby consent to any and all health care providers, authorize any first aid, emergency treatment, including but not limited to transportation to and from health care facilities and/or any medical professional to provide treatment, order injections, hospitalize, give anesthesia or perform surgery which is deemed advisable by and to be rendered under the general or special supervision of any physician and/or surgeon. I understand that this authorization is given prior to any need for medical care, but given to avoid unnecessary delay in emergency treatment which the attendant and/or medical professional may deem advisable in the exercise of best judgment. I presume a reasonable attempt was made to contact me.
Parent/Guardian Type Name*
Parent/Guardian Signature *

Clear
Date

MonthDayYear
Date
Special circumstances, medical conditions, allergies to medications- Please list all medical and medication information.
Initials Regarding Above

Clear
Image Release
In consideration of Gr8 Elite , myself or minor child/ward being allowed to
participate in any way in/with the organizations named above, related events and activities, I being legally authorized, do hereby my signature below agree that the organization(s) named above have the unrestricted and exclusive right and permission, free from approval or review, to copyright and use in all media now or hereafter known, including but not limited to, pictures and videos of myself ,or my child/ward which he/she may be included intact or in part for promotion or other commercial use.
I have read and fully understand and agree, initial below
Initial *

Clear

My signature below acknowledge I have read, understand and agree to the following information below:
- Fall Registration Cost is $300
- Save $50 if you register by July 15
- NO REFUNDS
- This is for both returning and new players
- Returning players will have current helmet switch out
- Registration Closes Aug 1st *no exceptions *
- If your child is not PAID IN FULL He will not be eligible to play events
- All players need to have state Ids this is mandatory when playing this season.
- The league will not be accepting Birth certificate cards
- Physical Form Must be submitted by Aug 1st
  - Download Physical form here
  - You may also use the physical form from your doctor
  - Email to info@gr8elite.com or turn in in person
Signature*

Clear
Payment Type*

OnlineVenmoCash AppCash

Payment *

Online Pay in Full Pay now in full $5 processing fee NO REFUNDS

$255.00 Quantity

Paid Coach K Paid Coach K via other method (cash, venmo, cash app)

$255.00 Quantity

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Total

$0.00

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13U Fall 2024 Registration

UNITED YOUTH FOOTBALL AND CHEER

UNITED YOUTH FOOTBALL AND CHEER