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Hamilton Knights 2022

PLAYER INFORMATION

* Pick a Category:

Football

Cheer

Triple Play

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Birthdate:

Gender:

Grade:

Level:

Shirt Size:

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:

* Does your child have any disability/illness which may impair their playing?:

I give permission for my child to participate in H.Y.A.A program. I understand that my insurance is the primary coverage and the H.Y.A.A. insurance will cover the remainder. I also understand that it is my responsibility to drop of and pick up my child at the specified times and to take my child to and from all practices and games. I do hereby agree to release, discharge and to hold harmless, the H.Y.A.A. program, its officers, coaches, sponsors or any other personnel from all causes, liabilities, damages, claims or demands whatsoever on account of any injury or accident involving the said minors participation in this program. Furthermore, I hereby authorize the board or any of the coaching staff to act for me accordingly for medical attention.

I/we agree with the above *

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Hamilton Knights 2022