Uintah Youth Football, Inc.

4th of July Parade participant form 2021

PARTICIPANT INFORMATION

* First Name:

* Last Name:

* Grade in 2020 -2021 school year:

UYF WOULD LIKE PLAYERS TO WEAR THEIR JERSEYS FROM PAST YEARS, DURING THE PARADE. IF YOU DO NOT HAVE A JERSEY, YOU MAY BORROW ONE FOR THE DURATION OF THE PARADE.

* Do you have a UTES jersey from past years?:

* Can you help with decorating the parade float?:

PARENT/GUARDIAN

* Firstname:

* Lastname:

* Phone:

* Email:

* I would like to ride the float with my participant:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

WAIVER INFORMATION

I/We consent to our participation and our child’s participation in the Uintah Youth Football, Inc. program. In consideration for permitting our child to participate in the activities conducted by Uintah Youth Football, Inc. We release, waive, discharge, covenant, and relinquish any and all action or cause of action against the organization, promoters, officials, staff coaches and/or volunteers for personal injury, death, and or property damage occurring to our child as a result of engaging or receiving instruction in the activities conducted by this Organization. We further release all officials, officers, promoters, staff, coaches, and/or volunteers from any claim whatsoever on account of first aid, treatment or services rendered to our child during participation in this organization. Any intentionally misleading information provided in this form may result in our child being disqualified from participating in Uintah Youth Football, Inc. events for the remainder of the season. By signing below, electronically, I/We understand it represents the same signature as a hand written signature.

I/we agree with the above *

* Signature of Consenting Parent or Guardian:

* Date:

* indicates required fields

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4th of July Parade participant form 2021