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REQUESTING "HARDSHIP SCHOLARSHIP" FOR SPRING 2025
PLAYER #1 INFORMATION
*
FIRST NAME:
*
LAST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
*
AGE:
4
5
6
7
8
9
10
11
12
13
14
*
BIRTHDATE:
Jan
Feb
Mar
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May
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Jul
Aug
Sep
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Nov
Dec
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2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
GENDER:
M
F
GRADE:
K
1
2
3
4
5
6
7
8
9
10
11
12
*
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
A2XL
A3XL
*
SOCK SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
XLG
*
HAS YOUR ATHLETE EVER PLAYED/CHEERED BEFORE?:
YES
NO
PLAYER #2 INFORMATION
*
FIRST NAME:
*
LAST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
*
AGE:
4
5
6
7
8
9
10
11
12
13
14
*
BIRTHDATE:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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31
1950
1951
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1972
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1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
GENDER:
Male
Female
GRADE:
K
1
2
3
4
5
6
7
8
*
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
A2XL
A3XL
*
SOCK SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
2XL
3XL
*
HAS YOUR ATHLETE EVER PLAYED/CHEERED BEFORE?:
YES
NO
PLAYER #3 INFORMATION
*
FIRST NAME:
*
LAST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
*
AGE:
4
5
6
7
8
9
10
11
12
13
14
*
BIRTHDATE:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
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20
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29
30
31
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
GENDER:
Male
Female
GRADE:
K
1
2
3
4
5
6
7
8
*
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
A2XL
A3XL
*
SOCK SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
*
HAS YOUR ATHLETE EVER PLAYED/CHEERED BEFORE?:
YES
NO
PLAYER #4 INFORMATION
*
FIRST NAME:
*
LAST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
*
AGE:
4
5
6
7
8
9
10
11
12
*
BIRTHDATE:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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31
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1961
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1963
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1966
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1970
1971
1972
1973
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1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
GENDER:
M
F
GRADE:
K
1
2
3
4
5
6
7
8
*
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
ASM
AMD
ALG
AXL
A2XL
A3XL
*
SOCK SIZE:
YXS
YSM
YMD
YLG
YXL
AS
AM
AL
AXL
A2X
*
HAS YOUR ATHLETE EVER PLAYED/CHEERED BEFORE?:
YES
NO
PARENT/GUARDIAN #1
FIRST NAME:
LAST NAME:
BIRTHDATE:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
STREET ADDRESS:
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
AS
AM
AL
AXL
A2X
A3X
A4X
A5X
CITY:
STATE:
ZIP CODE:
EMAIL:
HOME PHONE:
CELL PHONE:
Are you:
Single
Married
Divorced
*
Do you own your house?:
Yes
No
*
Do you rent?:
Yes
No
*
Place of Employment:
*
Work Phone:
*
Income Amount:
*
Income:
Weekly
Monthly
Year
*
Reason for your Hardship?:
How did you hear about the New Braunfels JR Cougars?:
PARENT/GUARDIAN #2
First Name:
Last Name:
BIRTHDATE:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
SHIRT SIZE:
YXS
YSM
YMD
YLG
YXL
AS
AM
AL
AXL
A2X
A3X
A4X
A5X
Street Address:
City:
State:
Zip Code:
Email:
Home Phone:
Cell Phone:
Are you:
Single
Married
Divorced
Do you own your house?:
YES
NO
Do you rent?:
YES
NO
Place of Employment:
Work Phone:
Income Amount:
Income:
Weekly
Monthly
Year
Reason for your Hardship?:
How did you hear about the New Braunfels JR Cougars?:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
Insurance Carrier:
Policy #:
WAIVER INFORMATION
1. PERMISSION TO PARTICIPATE: I, the parent/guardian of the above-named participant hereby acknowledge that my child is in good general health and I give my approval for my child to participate in any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. regional, league/conference, association and team/squad activities, including transportation to and from the activities by a licensed driver with proof of insurance.
2. INTENT TO INFORM: I acknowledge that I am fully aware of the potential dangers of participation in any sport and I fully understand that participation in Football, cheerleading and/or dance may result in SERIOUS INJURIES, PARALYSIS, PERMANANET DISABILITY AND/OR DEATH. Furthermore, I fully acknowledge and understand that protective equipment does not prevent all participant injuries, and therefore I do hereby waive, release, absolve, indemnify, and agree to hold harmless TYFA league and New Braunfels JR Cougars Youth Football and Cheer Organization Inc., and any and all organizers, sponsors, supervisors, participants, and persons transporting the above named participant to and from activities, from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause.
3. EMERGENCY MEDICAL AUTHORIZATION: I hereby grant my permission for any and all emergency medical/dental treatment and/or first aid to be administered to my child/participant, including authorizing any medical treatment facility/hospital to administer emergency treatment, for any illness/injury/accident resulting from participation in any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. activities.
4. EQUIPMENT RESPONSIBILITY: I agree to assume full responsibility for any and all equipment/uniforms loaned to the above named participant and I agree to promptly return, upon request, the uniform and other equipment issued to the above named participant in as good condition as when received except for normal wear and tear. If I fail to adhere to this policy, I will be responsible for the replacement cost of such equipment.
5. INSURANCE DISCLOSURE: I am aware that the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. carries group accident insurance which is considered secondary or excess for medical purposes to any and all valid insurance I possess is considered primary insurance. Furthermore, I agree to notify in writing my head coach and New Braunfels JR Cougars Youth Football and Cheer Organization Inc. of any medical claim as a result of participation in New Braunfels JR Cougars Youth Football and Cheer Organization Inc. as soon as reasonably possible. I understand that any registration fee paid does not constitute a direct premium for insurance and that a deductible(s) may apply.
6. SCHOLASTIC VERIFICAITON: I hereby stipulate that either my child is scholastically fit and will adhere to all rules and regulations therein. Furthermore, I hereby authorize my child’s school to release school grades, report card results, and any and all other pertinent scholastic information to the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. in order to comply with team requirements.
7. FINANCIAL RESPONSIBILITY: I hereby stipulate that I have been advised by the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. of my rights, if any, to a refund in accordance with the Refund Policies found in the Handout Tab. I have also been advised of my fundraising obligations for the entire season and agree to fully comply with those obligations.
8. COMMUNICATION AND PROMOTIONAL CONSENT: As a condition to my child’s participation, I hereby consent to receive communications via email and mail from New Braunfels JR Cougars Youth Football and Cheer Organization Inc. and its partners. I understand that the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. does not sell its contact lists and communications sent may contain program information as well as special offers and may be opted out of by following the instructions in the email or via written request to the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. Furthermore, I hereby grant to the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. the absolute right and permission to make, reproduce, broadcast or otherwise use participant’s name and likeness, any photograph, films, videos, recordings, or other depictions or images in whatever form or media in connection with participation in New Braunfels JR Cougars Youth Football and Cheer Organization Inc. throughout the universe in perpetuity and in any and all advertising and promotion materials, in any manner or media whatsoever for purposes of art, advertising, editorial, trade or promotion or any other purpose whatsoever. To the extent that any benefit accrues or may accrue to New Braunfels JR Cougars Youth Football and Cheer Organization Inc., I hereby and forever waive any interest in or claim to such benefits and acknowledge that the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. is under no obligation to exercise any rights granted herein.
9. Volunteer Duties – This organization needs volunteers in order to be successful. As a parent in our organization, I hereby acknowledge and understand this commitment and fully agree to help work one or more of the below listed areas by doing a minimum of 6 volunteer hours during our home games. Shift times will be before or after your child's game. If your child plays on the Rookie team, for example, then we ask that you volunteer for a Tykes or Junior game shift. You won't miss your child's game this way and your help is greatly appreciated. Here are just a few positions that are needed for each home game.
2 individuals for Gate
2 individuals for Chains: To work the chains during the game
1 individual for Down Marker
1 individual for Video Recorder
10. ADULT CODE OF CONDUCT:
1. In order to uphold the goals of the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. and ensure that all participants have the benefit of a safe and fun learning environment, all parents, guardians and other adults and attendees of New Braunfels JR Cougars Youth Football and Cheer Organization Inc. events, including but not limited to practices, competitions, fundraising events, and banquets, must behave accordingly in a respectful, courteous and sportsmanlike manner at all times.
2. Any adult who is using alcohol, tobacco or non-prescription drugs and/or appears intoxicated at a New Braunfels JR Cougars Youth Football and Cheer Organization Inc. event, and/or who is flagrantly rude, attempts to intimidate, verbally abuse, heckles, taunts, ridicules, boos, throws objects and/or uses vulgarity or profane language/gestures with an official, coach, volunteer, staff member, participant or other event attendee, must receive a verbal warning and/or be asked to leave a New Braunfels JR Cougars Youth Football and Cheer Organization Inc. event. The New Braunfels JR Cougars Youth Football and Cheer Organization Inc. may also provide a written warning to the individual regarding the misbehavior. The adult’s children may also be removed from the event. Any adult who commits one of the above stated offenses a second time, will be banned from any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. events for a period of one year from the date of the second offense, and their children may also be removed from the program(s) for that time period.
3. Any adult who physically assaults an official, coach, volunteer, staff member or participant or threatens grave bodily harm may be banned from any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. events for one year from the date of the offense, and their children may also be removed from any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. programs for that same period of time. After the ban has expired, if the individual commits another offense of the adult code of conduct, the individual will be permanently banned from any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc. events and the individual’s children may also be permanently removed from any and all New Braunfels JR Cougars Youth Football and Cheer Organization Inc.
11. ADHERENCE TO NEW BRAUNFELS JR COUGARS YOUTH FOOTBALL and CHEER ORGANIZATION INC. RULES AND PROCEDURES: I hereby understand and acknowledge that as a parent/guardian of a New Braunfels JR Cougars Youth Football and Cheer Organization Inc. participant it is my responsibility to comply with all rules and regulations stipulated, adopted or recognized by New Braunfels JR Cougars Youth Football and Cheer Organization Inc. or any of its member leagues and understand that any non-compliance with any and all rules and regulations may be cause for discipline and/or dismissal of the participant, myself, and/or any spectators or other persons affiliated with myself as the parent/guardian and the participant. I further understand that the participant must meet New Braunfels JR Cougars Youth Football and Cheer Organization Inc. age requirements on their official certification date as established by the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. without exception. I agree to furnish an authentic certified copy of a birth certificate of the participant to New Braunfels JR Cougars Youth Football and Cheer Organization Inc. officials and understand that valid proof of age, a current calendar year’s signed sports physical, participant contract, grade verification, and parental consent, and any other necessary forms must be presented by date of certification in order to participate further in New Braunfels JR Cougars Youth Football and Cheer Organization Inc. activities.
12. DISPUTE RESOLUTION POLICY: I hereby understand and acknowledge that all civil disputes between the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. and any and all affiliated parties will be subject to binding arbitration in the locale of the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. in New Braunfels, Texas in accordance with Texas law under the guidelines and rules of the American Arbitration Association. I hereby agree that this binding arbitration shall be in lieu of any litigation by and between myself, the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. and any and all affiliated parties. I also understand and agree that if I contest any decision or ruling of the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. and seek other recourse, that I will reimburse the New Braunfels JR Cougars Youth Football and Cheer Organization Inc. for all legal fees and expenses it reasonably incurs. If any portion of this form shall be deemed unenforceable or invalid, the reminder shall remain in full force and effect.
RULES & REGULATIONS - By allowing my child to participate on any team within the New Braunfels JR Cougars Youth Football and Cheer Organization Inc., By checking the box below is the same as my signature and I hereby stipulate that I have read and fully understand and voluntarily agree to all of the above.
I/we agree with the above
*
* indicates required fields
SELECT FEE
$100.00 - Registration Fee for 1 player
$175.00 - Registration Fee for 2
$250.00 - Registration Fee for 3
$300.00 - Registration Fee for 4
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