GRID IRON TEXANS YOUTH FOOTBALL

Subscribe to our Newsletter

Select Tackle Football Tryout Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

WAIVER INFORMATION

TRYOUT PARTICIPATION WAIVER

I DO HEREBY ACKNOWLEDGE THIS IS ONLY A TRYOUT AND DOES NOT CONSTITUTE ANY COMMITMENT BY THE TEAM, LEAGUE, OR MYSELF.

PARENTAL AUTHORIZATION

1. I, PARENT OR GUARDIAN OF THE ABOVE NAMED CANDIDATE ARE FULLY AWARE OF THE POTENTIAL RISK AND HAZARDS IN THIS PROGRAM CAN BE SIGNIFICANT.

2. I KNOWINGLY AND FREELY ASSUME ALL RESPONSIBILITY AND DO HEREBY WAIVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS THE GRID IRON TEXANS YOUTH FOOTBALL ORGANIZATION, TEAM, ORGANIZERS, SPONSORS, SUPERVISORS, AND PARTICIPANTS.

3. I ALSO GRANT PERMISSION FOR THE MANAGING PERSONNEL OR OTHER LEAGUE REPRESENTATIVES TO AUTHORIZE AND OBTAIN MEDICAL CARE FROM ANY LICENSED PHYSICIAN, HOSPITAL, OR MEDICAL CLINIC SHOULD THE PARTICIPANT BECOME ILL OR INJURED WHEN NEITHER PARENT IS AVAILABLE TO GRANT AUTHORIZATION FOR EMERGENCY TREATMENT.

I/we agree with the above *

Signature:

Date:

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Select Tackle Football Tryout Registration Form