Bandit Football Association

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League Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

* Street (where player resides):

* City (where player resides):

* State (where player resides):

* Birthdate:

* Gender:

* Grade 2020-2021 (if your player is in 1st grade, select 2nd grade option):

* School player will be attending (Player must be attending Perkins-Tryon Schools):

PARENT/GUARDIAN #1
(If there are 2 parents or guardians, also fill out PARENT/GUARDIAN #2)

* First Name:

* Last Name:

* E-mail Address:

* Home/Cell Phone:

PARENT/GUARDIAN #2

First Name:

Last Name:

E-mail Address:

Home/Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

Additional Information (if needed):

WAIVER INFORMATION

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Bandit Football Association (BFA) has put in place preventative measures to reduce the spread of COVID-19; however, the BFA cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)'s risk of contracting COVID-19.

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By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the BFA and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the BFA may result from the actions, omissions, or negligence of myself and others, including, but not limited to, BFA volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at the BFA or participation in BFA programs. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the BFA, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any BFA program.

I/we agree with the above *

PAYMENT OPTION

THERE is 1 PAYMENT OPTION THIS YEAR - $50 NON-REFUNDABLE DEPOSIT IS REQUIRED AT THE TIME OF REGISTRATION

Please make payment at the time of registration.

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League Registration Form