Registration

Participant Information

* - Required Fields

First Name*

Last Name*

Address*

City*

State*
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code*

Birthdate*: JanFebMarAprMayJunJulAugSepOctNovDec1234567891011121314151617181920212223242526272829303119961997199819992000200120022003200420052006

Age* (as of 9/1/12)

Weight*
Under 60 lbs.60 lbs. - 75 lbs.75 lbs. - 90 lbs.90 lbs. - 105 lbs.105 lbs. - 125 lbs.Over 125 lbs.

Parent Information

Parent/Guardian Full Name*

Address*

City*

State*
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code*

Phone*

Email*

Emergency Contacts

Emergency Contact Full Name*

Emergency Contact Phone*

Relationship*

How did you hear about GYF?

Terms & Conditions

I, as parent of the above name participant registered in Garnet Youth Football, hereby give my approval and consent for participation in any and all activities.

In case of an emergency, if my family physician cannot be reached, I hereby authorize that my child, the above named participant, be treated by qualified personnel or another qualified, licensed physician.

I assume all risks and hazards, incidental to such participation including transportation to and from activities. I hereby waive, release and absolve, indemnify and agree to hold harmless, Garnet Youth Football, the organizers, supervisors, participants and person transporting my child to and from activities, for any claim arising out of injury whether to the result of negligence or for any other case, except to the extend and in the amount covered by accident and/or liability insurance.

I give permission for my child's picture to appear on the Garnets Youth Football website or any other media outlet.

I am responsible for all equipment and uniforms loaned to my child.

Uniforms not returned will result in an equipment fee.

I agree to volunteer at least 8 hours of my time during the season.

Registration Fee includes: Equipment, Personalized football jersey, banquet, and Personalized Trophy.

I agree to the above terms: