Mankato North Mankato Youth Football Registration Form
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1MANKATO NORTH MANKATO YOUTH FOOTBALL REGISTRATION FORM
Return this completed form and the registration fee of $85.00 by July 1st to:
MNMYF, P.O. BOX 311, Mankato, MN 56002
(Please call MNMYF at 507-625-1100 or contact if you have any questions.)
PLAYER INFORMATION (please print)
Last Name:
First Name:
Address:
City:
Zip Code:
School Attending Now:
School Attending in Fall:
Grade Entering in Fall:
Height:
Weight:
Does your child have any physical ailments and/or limitations? (Please check one) Yes
No
If Yes, explain:
PARENT/GUARDIAN INFORMATION (please print)
Father/Guardian Last Name:
First Name:
Home Phone:
Cell/Alternate Phone:
Email Address:
Mother/Guardian Last Name:
First Name:
Home Phone:
Cell/Alternate Phone:
Email Address:
SPECIAL REQUESTS/REMARKS
VOLUNTEER INFORMATION In order for MNMYF to be successful, we need all talents and resources available to us
through our parents/guardians. Please check any of the following areas where you will participate:
Coach
Asst. Coach
Team Manager
Phone Committee
EMT / Responder
MNMYF Disclaimer
As parents/guardians we state to the best of our knowledge and belief, the information provided on this form is true, accurate and
complete. We understand that this program is a tackle football program and involves certain risks of illness or injury to participant.
As parents/guardians we state that ___________________________________ (print name of player) is physically fit to participate in the
MNMYF tackle football program and consent to our child's participation is such program.
Knowing the risk of injury, as parents/guardians we do hereby agree to assume responsibility for any illness or injuries sustained by our
child while practicing, playing, participating in, being transported, or involved in the activities under the jurisdiction of the Mankato North
Mankato Youth Football league. We agree to assume all responsibility for and pay for all medical and hospital expenses incurred because
of any illness or injuries incurred by our child as a participant in the MNMYF league. We release MNMYF's officers, director, coaches,
officials, representatives, and volunteers, the Independent School District #77 Recreation Department, South Central Technical College,
Minnesota State University - Mankato, and the cities of Mankato and North Mankato, Minnesota from any and all damages and liabilities
sustained by our child or ourselves resulting from participation in the youth tackle football program.
By signing below you are agreeing to all terms listed on this page.
Father/Guardian Signature: _______________________________________
Date:
Mother/Guardian Signature:
Date:
Mankato North Mankato Youth Football wants to thank its great sponsors!
For MNMYF use only: Scholarship
Partial Scholarship
Amount Paid $
Check #
Date Pd ___/___/___
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