Clovis Wolves

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Players Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone and Cell Phone:

* Birthdate:

Email:

* Position:

* Height & Weight:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

San Joaquin Valley Football League
Players Release &Wavier Form

All Players are required to sign this form before playing or practicing in the SJVFL 2011 Season!

I_______________Hereby agree that I wave, Release and forever discharge
_______________________(School District) and the SJVFL as well as Medical Personal assigned to said teams or contest. By execution of this release it is the intention of the undersigning to assume all risk of injury associated with participating in the sport of full contact football.

The undersigned warrants that he will disclosed to his Aforementioned Team as well as the SJVFL of any Physical Conditions or Illness or injury’s known to him which might affect his ability to perform during the 2011 season or which might make him susceptible to Injuries-Illness or death during the 2011 season.

Date Signed_______________Signature_______________________

Witnessed by________________Date___________________

Please list any injuries you are recovering from, any operations you have had in the past 2 years, any illness that you are recovering from below.

1._______________________________
2._______________________________
3._______________________________
4._______________________________

I/we agree with the above *

* indicates required fields

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Players Registration