Golden Gate Youth Titan Football & Cheer Inc

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Football & Cheer Form 2020

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

State:

Zip Code:

* Home Phone:

* Birthdate:

* Email:

Gender:

* Grade:

* Please Choose Football or Cheer:

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:

* Insurance Carrier:

* Policy #:

WAIVER INFORMATION/ RELEASE OF LIABILITY AND ASSUMPTION OF RISK-
I understand that participation in the Golden Gate Youth Titan Football & Cheer League (“the League’) involves certain risks, including, but not limited to, serious injury and death. My child is voluntarily participating in the League. I understand the danger involved and agree to accept all risks of my child’s participation. I, hereby release Florida Elite Football & Cheer, Inc (“the Company”), related sponsors, and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors, and affiliates, from any and all liability from property damage, personal injuries or other claims arising from or in connection with my child’s participation in the League including claims that are known and unknown, foreseen and unforeseen, future or contingent. I hereby give permission to the Company or any person designated by it or any Released Party, to select appropriate medical personnel to provide routine health care, administer prescribed medications, and seek emergency medical treatment, including hospitalization, ordering x-rays or routine tests, and to arrange necessary related transportation for my child. I agree to the release of any records necessary for insurance purposes. I do hereby, for myself, my heirs, administrators, executors, guardians, assigns, representatives, and next of kin, forever waive, release, discharge, and covenant not to sue the company, and its subcontractors, officers, directors, representatives, employees and its officers, directors, employees, subcontractors, (collectively the Company agents) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my child’s participation in the Event and caused by the ordinary negligence of the Company, wherever, whenever, or however the same may occur. I understand and agree that the Company and the Company agents are not responsible for any injury or property damage arising out of the Event, including, without limitation, the use of transportation services to and from the Event, even if caused by their ordinary negligence. I hereby grant, release, and quitclaim to Company and Company agents the right and authority to use, sell, reproduce, and distribute, quoted material, biographical information, my child’s photograph, email address, home address, likeness, recorded voice or videotaped filmed appearances (the “Materials”) for promotional and advertising purposes or programs as Company in its sole discretion will deem appropriate free of charge in any manner and for any purpose in any media now known or hereafter developed. All photographs, resumes, or other submission taken by or given to the Company shall be the property of the Company. I have read, understand, consent, and agree to the above Release of Liability and Assumption of Risk Agreement. Once signed, this agreement will bind my spouse, children, my legal representatives, heirs, successors, assigns, and me. I fully understand its terms and understand that I am giving up substantial rights by signing it. I sign this Release freely and voluntarily, without any inducement or coercion. I indemnify and hold harmless the Company and Company agents with respect to any and all injury, disability, death, loss or damage to person or property, whether arising from the negligence of any or all of the Released Parties or otherwise, to the fullest extent permitted by law.

No Refunds

All Athletes are required to participate in team events including travel & fundraising!

I/we agree with the above *

* indicates required fields

Merchant Credit Card Fee($5) *

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Football & Cheer Form 2020