All-American Youth Football League (Wisconsin) Participant Application Form printable pdf download

ALL-AMERICAN YOUTH FOOTBALL LEAGUE (WISCONSIN)

PARTICIPANT APPLICATION FORM

Slinger Gridiron Club

Grade this Fall: ______ School within District Player Will Attend: __________________ # of years attended_____

Do you Live in the Slinger School District: ____ YES ____NO School District of Residence: ___________________

Player Name: (First, MI, Last) ________________________________________________________

Address: ________________________________________ City: _________________ State: _____ Zip: __________

Age as of August 1

this Fall: ___________ Birth date: _________ Height: ____________ Weight: ____________

Father’s Name: _____________________________________ Phone: ______________________________________

Father’s Email: ________________________________________________________________________________

Mother’s Name: ____________________________________ Phone: ______________________________________

Mother’s Email: _________________________________________________________________________________

WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in the WISCONSIN ALL-AMERICAN YOUTH FOOTBALL LEAGUE,

related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis

and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does

exist; and,

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees

or others, and assume full responsibility for my participation; and,

3. I will comply with all rules and regulation of the WISCONSIN ALL-AMERICAN YOUTH FOOTBALL LEAGUE and its member

organizations(copies of rules and regulations are available upon request from the member organization for which this

application is intended); and,

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any

unusual significant hazards during my presence or participation, or if I am injured while participating in this activity, I will

remove myself from participation and bring such to the attention of the nearest team official immediately; and,

5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless

the WISCONSIN ALL-AMERICAN YOUTH FOOTBALL LEAGUE, and Slinger Gridiron Club Inc., its members, their officers, its

coaches, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and owners and

lessors of premises used to conduct the event (“Releasees”), with respect to any and all injury, disability, death, or loss or

damage to person or property, whether arising from the negligence of the releases or otherwise; and,

6. By signing below Slinger Gridiron Club Inc. would also have authorization to use the youths basic identification information

and photo in any club related marketing materials.

I have read this Release of Liability and Assumption of Risk Agreement, fully understand its terms, understand that I have given

up substantial rights by signing it, and sign it freely and voluntary without any inducement.

Athlete’s Signature: _____________________________________________________ Date signed: ______________________

For Parents/Guardians

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release

as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the

Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided

above, even if arising from the negligence of the Releasees.

Parent/Guardian’s Signature: _____________________________________________ Date signed: _______________________

Update 1/20/15

All-American Youth Football League (Wisconsin) Participant Application Form