Slidell Youth Football Association - (Slidell, LA)

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SYFA Fall Football & Cheer Registration

Participant Information

* First Name:

* Last Name:

* Parent, Guardian or Adult E-mail:

Gender:

* Please select a division (Age as of June 1st):

* Uniform Top Size:

* Uniform Bottom Size:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* Email:

* Phone Number:

PARENT/GUARDIAN #2

First Name:

Last Name:

Email:

Phone Number:

EMERGENCY CONTACT/MEDICAL INFORMATION

Emergency Contact:

Phone Number:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

In exchange for participation in the activity of tackle football and cheerleading organized by SYFA and the use of facilities, property, and services provided thereby, including but not limited to: fields, equipment, coaches, staff, I recognize that there are certain risks associated with the above described activity and I assume full liability for personal injury to myself and my child/guardian (hereinafter child shall be all inclusive), my family members, and any attendees to the sporting activity for any injury, loss or damage arising out of my family use of or presence upon the facilities of SYFA (allowed use) whether caused by fault of myself, child/guardian, my family or any other third party.

I/we agree with the above *

* indicates required fields