Orange Youth Football

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OYF Cheer Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

* Birthdate:

* Email:

* Age on Aug 1:

* 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:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

RELEASE: In the event of an emergency, I give permission form my child or myself to be treated with the emergency care. In consideration of your accepting this entry, myself, my child, my heirs, executors and administrators, waiver and release any and all rights & claims for damages I or my child have against Orange Youth Football, it's representatives, successors and assigns all risk and hazards incidental to such participation including transportation to & from activities; especially if transportation is provided by someone else. I further agree that I am responsible for my (and my child's) actions and behavior while at activities. In addition, I agree that I am responsible for the return of any equipment issued to us - upon request or at the end of the season. If I fail to do so, I will be held liable for the cost incurred to replace the equipment. I also understand that I am responsible for replacing and repairing any damages which may occur to facilities and equipment, especially during authorized use of activities. I also acknowledge that pictures and digital images of myself/child may be used by Orange Youth Football for promotional purposes. I understand that upon acceptance of this registration form, I am responsible for payment of all program fees and any penalty's incurred.

I/we agree with the above *

* indicates required fields

Convenience Fee ($1.5) *

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OYF Cheer Registration