2018 Junior Football (Grades (5 & 6)






Statement of Intent & Release Form

Timberlane Junior Football and Cheer regularly maintains a website and Facebook page for players and cheerleaders: www.leaguelineup.com/welcome.asp?url=timberlanetornadoesfootballandcheer. The website as well as Facebook page is informational for players, cheerleaders, parents, fans and others. As part of these websites, individual and action photographs are routinely displayed. No individual photographs will be displayed on these websites without the express written permission of the parent/legal guardian of the player/cheerleader. However, action photographs may include players/cheerleaders whose parent/legal guardian has not given consent. Without consent, all reasonable efforts will be made by Timberlane Junior Football to protect the player/cheerleader’s identity.

Having read and understood the above, I hereby:

GIVE MY CONSENT AND PERMISSION for my player to have photographs and information displayed on TIMBERLANE JUNIOR FOOTBALL’s PLAYER and CHEERLEADER WEBSITE AND FACEBOOK PAGE. In giving this consent and permission, the undersigned, its successors and assigns, hereby indemnifies and agrees to hold harmless TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING, it’s BOARD, members, and other involved personnel and volunteers from any harm, claims, or damages which may result from the Participant’s inclusion in the WEBSITE/FACEBOOK PAGE by TIMBERLANE JUNIOR FOOTBALL.

FEES REQUIRED FOR PARTICIPATION (Separate checks are required for each fee):

$210.00 Non-Refundable Registration Fee. (Due Now, $100.00 earned back upon sale of all raffle calendars)

$125.00 Parent Volunteer Fee, Check post-dated to 11/1/18, Returned at end of season if commitment has been met.

$300.00 Equipment Security Deposit. Check post-dated to 11/1/18. Returned once all equipment lent out has been returned.

***Your final registration is not complete until we receive all of the above payments***

Payment can be sent to:

Jessica Sawyer
142 main street
Sandown, NH 03873


The sports of football/cheerleading are for players and cheerleaders. Timberlane Junior Football expects that all players and cheerleaders in our program will always exhibit good sportsmanship and a sense of fair play. Players and cheerleaders must understand, that when they sign up to play football or be a cheerleader, they are representatives of Timberlane Junior Football, as well as their team, squad, coaches, parents and community. They should therefore, act accordingly. All Timberlane Junior Football players and cheerleaders will adhere to the following code of conduct.

1. I will do my very best in school and will remember that school comes before football/cheerleading.

2. I will treat my teammates, squad members, coaches, referees, fans and others with respect.

3. I will not use foul or abusive language, and will not taunt or make any foul gestures during a game, practice, competition or any other team/squad/league event to a referee, judge, another player/cheerleader, coach, fan or anyone else.

4. I will hustle and strive to do my best whenever I can.

5. I will do my best to listen and learn from my coaches.

6. I will attend every practice, game, and/or competition that I can, and will notify my coach if I cannot.

7. I will be a good friend to my teammates/squad members.

8. I will cheer for and support my teammates/squad members.

9. I deserve to have fun during my football/cheerleading experience and will alert my parents and coaches if it stops being fun.

10. I will encourage my parents to be involved with my team/squad in some capacity because it is important to me.

11. I will remember that it is only a game/competition and that striving to win is more important than winning.

12. I will remember that youth football/cheerleading is an opportunity to learn and have fun and that it’s a privilege, not a right to be a part of.

13. I will not drink alcoholic beverages or use illegal drugs of any kind, nor will I ever attend a team, squad, league function/event or competition while under the influence.



All parents will abide by the Code of Conduct, which includes the following:

1. I will not criticize TJF, board members, coaches, players and/or cheerleaders in public, but reserve constructive criticism for later, in private, with those involved.

2. I will accept decisions of the game officials on the field as being fair and called to the best ability of the officials.

3. I will not criticize an opposing team, its players, cheerleaders, coaches, and fans by word of mouth or by gesture.

4. I will emphasize with my child that good athletes strive to be good students that are physically and mentally alert.

5. I will strive to make every football/cheerleading activity serve as a training ground for life.

6. I will emphasize that winning is the result of good "TEAMWORK".

7. I will refrain from talking to my child during games and practices.

8. I understand that any fan that becomes a nuisance and out of control shall be asked to leave.

9. I will refrain from using abusive and profane language at all times.

10. I will not deliberately incite unsportsmanlike conduct

11. I will abstain from drinking alcoholic beverages and/or be under of or use illegal drugs at both the game and practice fields and/or at any team/league related event/function.

12. I will support all fund-raisers and other TJF activities.

13. I understand I will be required to help out where needed during TJF functions.

14. I will not do anything that will be detrimental to the team and/or TJF.

15. I will be responsible for getting and picking up my child on time from all TJF functions.

I agree to be bound by the Parents Code of Conduct, and do so knowing that TJF may impose disciplinary action(s) for violating the Parents Code of Conduct.


Having your child’s Physician give a physical exam before participating in Football or Cheerleading is supported by and encouraged by TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING, but is not mandatory.

TO WHOM IT MAY CONCERN: In the case of an emergency, by authorization of my signature below, I hereby allow TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING and/or its designee(s) to administer first aid, and/or make arrangements for Emergency Transportation to medical facilities for treatment, if unable to contact me in a reasonable time frame.

The undersigned hereby indemnifies and agrees to hold harmless, TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING AND/OR IT’S DESIGNEE(S) from any claims and/or law suits arising from said treatment. Also, I hereby agree to assume all responsibility for any injury or injuries, which he/she may hereafter sustain under any circumstances pertaining to involvement in TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING. This also includes any and all League functions/events, and/ or any other activity(s), event(s) associated with TIMBERLANE JUNIOR FOOTBALL/CHEERLEADING.

**All participants are covered by excess accident insurance. However, Parents will be responsible for the first $500.00 (FIVE Hundred Dollars) for each injury in excess of their personal collectable insurance. Not having health insurance will not prohibit your child from participating. In the case of an injury in which medical treatment becomes necessary, it is my responsibility to pick up my child at the medical facility, NO matter where that facility is located, and if possible, accompany my child to said medical facility. All injuries and/or claims must be reported within 24hrs of injury to your child’s head coach and/or a TJF board member. Claims for insurance must be filed by November 16, 2017.

Tornadoes Calendar Raffle Instructions:

Timberlane Jr Football and Cheer will be holding a Calendar Raffle for the month of October.

How it Works

1. Starting October 1 st , a drawing will take place each day. The ticket picked, wins
that day's cash prize
2. Winning tickets will go back into drawing.
3. All prizes will be mailed out in a timely manner.
4. Every player and cheerleader will be required to sell 1 (one) book of calendar
raffles. Additional books will be available.
A. Players and Cheerleaders participating on tackle teams/squads are required
to sell a book of 10
B. Players and Cheerleaders participating on flag teams/squads are required to
sell a book of 5
5. Calendar Raffle Books are to be prepaid. You must pick them up at sign ups.
Those who sign up online, arrangements will be made for pick up/delivery.
6. Once calendars are sold: You keep the money as reimbursement for prepaying,
just turn in the raffle stubs. Stubs must be turned by Sept 30th .
A. Players return to yours to your respective team mom.
B. Cheerleaders return yours to your respective head coach.

PLEASE NOTE: The Player and Cheerleader who sells the most calendars will each receive a
$100.00 Visa Gift Card.

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Payments Accepted By

Note: Credit Card information can be entered once this form is submitted