Buna Youth Football Association

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BYFA camp Registration form 2024

PLAYER INFORMATION

* Registration Type:

Football Player

Cheerleader

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Gender:

* Grade going into:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

Work Phone:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Parent, Guardian or Adult E-mail:

WAIVER INFORMATION:
I the parent/guardian of the above named child, fully understanding that football is a contact sport and cheer leading is a sport where serious injuries may result, I hereby give my consent for said child to participate in any and all Lonestar Junior Football activities during this current season. I do hereby waive, release, absolve, Indemnify, and agree to hold harmless any member of any team, association, league, or organization that is affiliated with this youth program for any claim resulting from injury to any child.
I, hereby, authorize any local hospital, doctor, or other licensed medical practitioner, as well as Emergency Medical Treatment personnel, to take what they feel are the correct procedures as an aid to my child’s health and well being, in my absence.

I/we agree with the above waiver. *

* indicates required fields

online processing fee($2)

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BYFA camp Registration form 2024