CHARLOTTE YOUTH SPORTS BASEBALL & FOOTBALL

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2021 CHARLOTTE YOUTH CHEERLEADER REGISTRATION FORM AGES 6 TO 13

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

I THE UNDERSIGNED PARENT OR GUARDIAN OF THE ABOVE CHILD HEREBY GIVE MY PERMISSION FOR HIM/HER TO PARTICIPATE IN THE CHARLOTTE YOUTH
FOOTBALL LEAGUE . I UNDERSTAND THAT ONCE I PAY A REGISTRATION FEE TO THE LEAGUE, THAT FEE IS NON-REFUNDABLE. I SUBMIT THAT ALL
INFORMATION GIVEN IN THIS FORM IS TRUE AND ACCURATE. I ALSO UNDERSTAND THAT IF I GIVE FALSE INFORMATION ON THIS FORM, MY CHILD SHALL
NOT BE PERMITTED TO PARTICIPATE IN THE LEAGUE AND THE REGISTRATION FEE IS ALSO NON-REFUNDABLE. ALL CHILDREN MUST PAY THE
REGISTRATION FEE TO BE ELIGIBLE TO PARTICIPATE.
I, THE UNDERSIGNED PARENT UNDERSTAND THAT FOOTBALL IS A CONTACT SPORT WHERE SERIOUS INJURY MAY OCCUR
AND I RELEASE,INDEMINFY AND HOLD HARMLESS THE CHARLOTTE YOUTH FOOTBALL LEAGUE, ITS SPONSORS, VOLUNTEERS
AND ASSOCIATES FROM ANY CLAIM OR LAWSUITS WHATSOEVER. SIGN_________________________________________DATE_________________
FURTHER, I HEREBY ACKNOWLEDGE TO RETURN AT THE END OF THE SEASON THE EQUIPMENT LOANED TO ME CONSISTING OF: PLAYER - HELMET,
SHOULDER PADS, GAME JERSEY AND GAME PANTS; CHEERLEADER - TOP AND SKIRT. ABOVE I AGREE TO PAY THE CYFL ANY AND ALL COSTS
ASSOCIATED WITH THE COLLECTION OF ANY EQUIPMENT OR UNIFORMS. IN THE EVENT THE CYFL OR ITS OFFICERS AND/OR TEAM PRESIDENT
ASSOCIATES TAKE LEGAL ACTION AGAINST PARENT OR GUARDIAN TO COLLECT SAID EQUIPMENT, UNIFORMS OR REPLACEMENT COSTS OF SUCH
COSTS, COURT COSTS, ATTORNEY FEES AND EXPENSES NECESSARY TO PURSUE SUCH ACTION.

I/we agree with the above *

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CHEERLLEADER($150) *

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2021 CHARLOTTE YOUTH CHEERLEADER REGISTRATION FORM AGES 6 TO 13