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FOR LEAGUE USE ONLY [ ] Birth Certificate [ ] Code of Ethics [ ] Picture [ ] Equipment Agreement [ ] Fees Paid Check #_________Cash [ ] Receipt #________
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CHARLES CITY JAGUARS FOOTBALL
2009 REGISTRATION FORM
Registration fees:
Early $65.00 per child
$55.00 for second child
After July 20th $75.00
Please Print
Participant’s Name: _______________________________________________________
(Last) (First) (MI) (Nickname)
Age as of September 30, 2009: ______ Date of Birth: ______________ Weight: ___________
School Attending in 2008-2009: __________________________________________________
Did the participant play for the Charles City Jaguars in 2008? _______
If so, what Division? ________________________________________
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Attach Photo Here
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I understand that I must provide an original birth certificate or DMV child’s ID for my child by August 15, 2009 if he or she did not play for this Association in 2008. ___________ (Parent’s Initials)
PARENT/GUARDIAN DECLARATIONS
Please read carefully:
To the best of my knowledge, my child is in good physical and emotional health.
I, the parent/guardian, of the named child, hereby give approval to his/her participation in this youth activity. I understand that football is a physical contact sport and that injuries do occur. I assume all the risks and hazards incidental to such participation, including transportation to and from activities; and I do hereby waive, release and agree to hold harmless the Charles City Athletic Association, coaches, organizers, sponsors, supervisors, participants and persons transporting the player to or from activities, from any claim arising out of any injury to the player, whether the result of negligence or any other cause.
I agree to return all uniforms and equipment issued by Charles City Athletic Association to my child in as good condition as when received. If not returned, I agree to pay replacement costs for the uniform as determined by the Charles City Athletic Association.
I understand that IT IS MANDATORY FOR ALL PLAYERS TO HAVE A PARENT OR GARDIAN PRESENT AT ALL TIMES DURING PRACTICES AND GAMES.
Refunds for non-participation will only be made through August 1, 2009 after August 1, 2009 refunds will be given to Players whom have either moved, or are unable to participate due to medical condition as documented by a physician.
It is understood that there is no guarantee of equal playing time. Under the Metro Constitution each player will have a minimum of four (4) per plays game during the regular eight game seasons.
Parent / Guardian Signature: _______________________________________________
CONDUCT AND DISIPLINARY ACTION
Disciplinary action may be taken at the discretion of the Charles City Athletic Association Board for violations of this code, which may include expulsion from the program without a refund.
DISIPLINARY ACTION WILL RESULT FROM, BUT IS NOT LIMITED TO THE FOLLOWING:
Harassment of the officials by players, coaches or spectators.
Intoxication and/or consumption of intoxicating beverages at an event sponsored by the association.
Verbal or physical abuse of players by coaches and/or other adults.
Fighting
Verbal abuse, threats or other “unsportsmanlike” conduct toward an opponent.
Violations of the rules of this association or the league in which the association is participating.
Interfering with players or other teams in the league without consulting the coach of that team and the league or football commissioner.
Any interference with league or team activities that would be detrimental to the welfare of the association or any of its teams, coaches or players.
Your signature below indicates you have read and understand what behavior is expected and that you agree to abide by this code set forth
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Signature Participant Date Signature Parent/ Guardian Date
PHOTOGRAPH RELEASE
I, legal parent/guardian of _____________________________________________ give permission for my child to have his/her picture taken and/or videoed for the Charles City Jaguars Website, other websites or direct association with Metro and also for use in the local newspapers, and I hereby hold Charles City Athletic Association and its representatives harmless in the exercise of this authority.
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Parent/ Guardian Signature Date
FUNDRAISING AGREEMENT
As with any non-profit organization, the Charles City Jaguars depend heavily on fundraising to help keep the registration cost at a minimum. I agree to participate in all league fund raising activities. I understand that in the event I do not adhere to the Fundraising Agreement, I agree to pay $40.00 to the Charles City Athletic Association.
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Parent/ Guardian Signature Date
VOLUNTEER INTERESTS
Team Parent: ________ Clock Operator: _______ Homecoming Committee: _______
Asst Coach: _______ Announcer: _______ Fields Committee: ________
Equipment Assistant: ______ First Aid*: _______
Must have First Aid / CPR Training
METROPOLITAN YOUTH FOOTBALL LEAGUE
PARTICIPATIOIN ELIGBITY AND CODE OF ETHICS FORM
The Metropolitan Youth Football League exists to promote the metal and physical development of youth in such a way as to develop high character and moral standards, a sense of competitiveness and fair play, respect for authority, help of your fellow man, and love of God, family and country.
To foster these ideals, you agree to abide by this Constitution, by-laws and all other rules and regulations of the League and to exhibit honesty, fair play, and respect for participates, officials, coaches, and spectators regardless of race, sex, creed or ability.
Your signature below indicates your agreement to abide with the above and to aide the League in the enforcement in the Code of Ethics by reporting violators in writing to:
Mike Woody, Commissioner, MYFL /P.O. Box 23226/Richmond, VA 23226
This form must be signed by all as indicated below and retained by your association with the master registration list for confirmation by the MYFL on roster night in order that the participant be considered a duly registered member of the MYFL and the Association below.
Has the child registered with MYFL member association prior to this year?
YES { } NO { } Association __________________________________
Have you registered this year with an association other than the one, which you are now registering?
I understand that I may register with only one MYFL association for a particular season.
YES { } NO { } Association __________________________________
I understand that I/my child may not play school football other than tryouts during the school year, unless league approval is grated.
Participants Signature _______________________________________________ Date__________________
Parent/Guardian Signature ___________________________________________ Date__________________
*See Article 12, Section 6.1 of the MYFL Constitution
Addendum #9 **Midget level players only**
It is understood that I/my child may not play school football while playing for an MYFL Member Association Midget level team. I understand that I/my child may try out for this school team but must declare his/her intentions no later than 5pm Friday, September 11th 2009; the day preceding the second scheduled varsity football game. School cut and/or school rostering dates will not apply.
I further understand that if I/my child is found to be in violation of this rule that my MYFL team will be subject to the following: Forfeiture of all games affected, forfeiture of any Post Season play and a fine of $100.00 will be imposed on the Association for each game affected.
Participant’s Name _______________________________ Age ________ Birth Date_____________________
Check One: { } Varsity { } Junior Varsity
Participant’s Signature _______________________ Parent/Guardian Signature _________________________