RED RIVER YOUTH FOOTBALL LEAGUE

HEAD INJURY GAME REENTRY WAIVER

I ____________________________________________________ , parent/guardian of

_____________________________________________________ assume all risks and hazards

incidental to reentry into the game based on the results of possible head injury.  I do hereby waive, release, absolve, indemnify, and agree to hold harmless the Red River Youth Football League and all Associations and all Organizations with which the Red River Youth Football League is affiliated with, the facilities district, the Organizers, the Sponsors, Supervisors, Coaches, Referees, Participants and any persons transporting the above applicant except to the extent and in the amount covered by Accident and Liability Insurance.  I understand that removal from a game a second time in the same season will require medical clearance from a licensed medical doctor.

I understand and agree to the conditions above:

Signature: _______________________________________  Date:__________________

Witness: ________________________________________ Date: __________________