Nocona Youth Football Asssociation

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2021 NYFA FALL FLAG FOOTBALL PLAYER REGISTRATION FORM

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

* Gender:

* Grade:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Cell Phone:

Home Phone:

PARENT/GUARDIAN #2

* Firstname:

* Lastname:

* Email:

* Cell Phone:

Home Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Best Phone:

* Relationship to Player:

WAIVER INFORMATION

I AS THE PARENT AND/OR LEGAL GUARDIAN OF THE ABOVE NAMED PARTICIPANT, I DO HEREBY GIVE FULL APPROVAL AND/OR CONSENT FOR MY CHILD AND/OR WARD TO PARTICIPATE IN ALL NOCONA YOUTH FOOTBALL ASSOCIATION (NYFA) LEAGUE, TOURNAMENT OR ORGANIZATIONAL ACTIVITIES. AS PARENT AND/OR LEGAL GUARDIAN IT IS UNDERSTOOD THAT BY SIGNING I AGREE TO ASSUME ALL RISKS AND HAZARDS INCIDENTAL TO SUCH PARTICIPATION INCLUDING THE TRANSMISSION OR INFECTION OF DISEASES, AND/OR VIRUSES, TRANSPORTATION TO AND FROM THE ACTIVITIES, AND AS SUCH I DO HEREBY WAIVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS THE NOCONA YOUTH FOOTBALL ASSOCIATION (NYFA), LEAGUE ORGANIZERS, BOARD MEMBERS, SPONSORS, SUPERVISORS, PARTICIPANTS AND/OR PERSONS TRANSPORTING MY CHILD/WARD TO AND FROM NOCONA YOUTH FOOTBALL ASSOCIATION ACTIVITIES FOR ANY CLAIM ARISING OUT OF AN INJURY OR ILLNESS TO THE ABOVE NAMED PARTICIPANT. I, AS THE LEAGLE PARENT/GUARDIAN ALSO GRANT PERMISSION TO MANAGING PERSONNEL OF THE NOCONA YOUTH FOOTBALL ASSOCIATION (NYFA) OR A LOCAL LEAGUE AND/OR TOURNAMENT REPRESENTATIVE TO AUTHORIZE AND OBTAIN MEDICAL CARE FROM ANY LICENSED PHYSICIAN, HOSPITAL, OR MEDICAL CLINIC SHOULD MY CHILD/WARD BECOME ILL OR INJURED WHILE PARTICIPATING IN ANY NOCONA YOUTH FOOTBALL ASSOCIATION (NYFA) SANCTIONED ACTIVITIES AWAY FROM HOME OR AT ANY OTHER TIMES WHEN NEITHER PARENT IS AVAILABLE TO GRANT AUTHORIZATION FOR EMERGENCY TREATMENT. I, AS THE LEAGLE PARENT/GUARDIAN HEREBY GIVE PERMISSION TO THE NOCONA YOUTH FOOTBALL ASSOCIATIONS (NYFA) CONTRACTED PHOTOGRAPHER TO USE OUR PHOTOS AND LIKENESS IN ALL FORMS AND MEDIA FOR ADVERTISING, PORTFOLIO, DEMO, TRADE, STOCK, PHOTOGRAPHY, EDITORIAL, ALTERING WITHOUT RESTRICTION, AND ALL OTHER LAWFUL PURPOSES. I, AS THE LEAGLE PARENT/GUARDIAN UNDERSTAND THAT I AM ENTITLED TO NO COMPENSATION FROM ANY PHOTO OR LIKENESS OF MYSELF OR MY CHILD/WARD. I, AS THE LEAGLE PARENT/GUARDIAN RELEASE THE PHOTOGRAPHER FROM ALL FORMS OF CLAIMS AND LIABILITY RELATED TO ANY TEAM OR INDIVIDUAL PHOTO USAGE.

I/we agree with the above *

* indicates required fields

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2021 NYFA FALL FLAG FOOTBALL PLAYER REGISTRATION FORM