FOREST PARK BLACK HAWKS YOUTH FOOTBALL & CHEER - (Baltimore, MD)

2024 Spring Football Camp Registration

PLEASE TAKE THE TIME TO REVIEW AND UNDERSTAND THE TERMS BELOW BEFORE COMPLETING THIS FORM:

- Use this form to register for the spring conditioning camp.

- Completing this form registers your child with our organization to get the paperwork on file. You will begin receiving email announcements regarding the camp soon.

- Ages 5 - 13
* Players must be 5 years old ON/BEFORE JUNE 30, 2024.
* Players CANNOT be 14 years old BEFORE JULY 31, 2024.

* Registration Type:

* Player's Last Name:

* Player's First Name:

* Current Age:

* Date of Birth:

* Gender:

Female

Male

* Parent/Guardian First Name:

* Parent/Guardian Last Name:

* Relationship:

* Address:

* City:

* Zip Code:

* Primary Phone Number:

* Email Address:

EMERGENCY CONTACTS:

* Emergency Contact Name:

* Emergency Contact Primary Phone Type:

* Emergency Contact Number:

* Emergency Contact Relationship:

Emergency Contact Name:

Emergency Contact Primary Phone:

Emergency Contact Primary Number:

Emergency Contact Relationship:

FAMILY PHYSICIAN:

Physician's Name:

Physician's Phone:

Physician's Address:

Physician's City, State & Zip Code:

Hospital Preference:

EMERGENCY MEDICAL TREATMENT AUTHORIZATION:

By checking this box, in case of emergency, if the family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, E.R. Physican)

ALLERGIES/MEDICAL PROBLEMS/MEDICATIONS:

Allergies (i.e. specific foods, medication, substances):

Medical Diagnosis (i.e. Diabetic, Asthma, Seizure Disorder):

Medication (name, dosage & frequency):

PARENT/GUARDIAN AGREEMENT:

I, the parent/guardian of the above named candidate for a position on the Forest Park Neighborhood Football League's youth football team/cheerleading team, do understand and agree to the following:
1. I give my approval to allow my child to participate in any and all youth football and cheer activities, including transportation to and from the activities approved by the Forest Park Neighborhood Football League.
2. I understand that participation in youth football and cheer may result in serious injuries and protective equipment does not prevent all injuries to athletes, and I do hereby waive, release, absolve, indemnify, agree to hold harmless
the local football and cheer organizers, sponsors, supervisors, participants, volunteers, and persons transporting my child to and from activities from any claim arising out of any injury to my child whether the result of negligence or
for any other cause.
3. In consideration of my minor child being allowed to participate in any way, in the Forest Park Neighborhood Football League, Inc., Team Maryland American Youth Football Conference championships (TMAYFC), American
Youth Football and American Youth Cheer national championships (AYFC), and any other official AYFC events and activities, the undersigned agrees that Forest Park Neighborhood Football League, Inc., is hereby granted
the unrestricted and exclusive right and permission, free from approval or review, to copyright and/or use my child's likeness in all media now or hereafter known, including but not limited to, pictures and videos of my child
which he/she may be included intact or in part for promotion or other commercial use.
4. I declare by signing below that my child has received all of the vaccinations required by the state health department, including the Tetanus Toxoid Booster.

By checking this box, I agree to all of the terms listed above. *

*Forest Park Neighborhood Football League does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference, or religious preference.

* indicates required fields