First Name Last Name Middle Initial Relationship to Child
Street Address City State Zip Code
Work Phone Home Phone Cell/Other
E-mail Employer Job/Position
Do you have primary insurance coverage for the child? Insurance Carrier
Spouse/Emergency Contact Full Name Spouse/Emergency Phone
1) I/We the parents(guardians) of the above named child do hereby give my/our consent to his/her participation in any and all of the activities during our
(TBYFL/FLYAA) current season.
* I/We do assume all the risks and hazards incidental to the conduct of the activities,and transportation to and from activities.
* I/We likewise release from responsibility any person transporting my/our son/daughter to or from activities.
* I/We do, further release, absolve, indemnify and hold harmless the Tampa Bay Youth Football League and FLYAA, the organizers, sponsors, or
supervisors appointed by them (TBYFL/FLYAA).
2) It has been explained to me and I do understand that football and cheerleading are dangerous sports, and injuries from participation in these activities
can be serious.
* I hereby consent to any and all medical treatment which may be deemed necessary by the attending physicians. It is my intent to grant authority to
administer and perform all examinations, treatment and diagnostic procedures, which may be deemed advisable and necessary during the course of
my child's care.
* In case of injury during a practice or game, the boy/girl will receive first-aid attention. The team sponsor or coach will not be held responsible for any
medical attention, which might be required.
* FLYAA assumes no liability for what happens when it comes to the events of football/cheerleading due to any unforeseen accident or death, the
parents/family have waived their legal rights.
3) A limited Athletic Benefit Insurance Policy will be provided for each participant.
* Such insurance coverage is intended to supplement your present homeowners' and/or hospitalization insurance.
* I/We understand the TBYFL Insurance Fee is non-refundable. This fee is payable before my/our son/daughter is allowed to start practice.
4) It has been explained to me and I understand that if my child becomes injured at school or during a football/cheerleading practice/game, a medical
release form must be provided before resuming participation with any athletic team associated with TBYFL/FLYAA.
5) I/We further agree to return all uniforms and equipment issued to our son/daughter at such time as his/her sponsor or coach may request, and to pay
the cost of repair/replacement of said equipment in the event of damage/loss. Equipment not returned will be grounds for not releasing my son/
daughter to another organization.
6) I/We understand that under TBYFL rules Pee Wee players are required to play a minimum of 8 plays and all other squads are to play a minimum of 5
plays.
7) I/We have been provided the Rules and Regulations of the Tampa Bay Youth Football League, Inc., and understand the rules regarding Birth
Certificates and/or verification of date of birth.
* The information provided about my child's name, date of birth, age, address, school information and photo is correct.
* I authorize TBYFL/FLYAA to request official school records to verify that above information is correct and that my child is in good standings and
eligible to participate in youth football/cheerleading.
* I/We further understand misrepresenting my/our son/daughter or their age could result in forfeiture of all games by his/her team, suspension
and/or criminal prosecution.
8) My child will abide by the rules of the Tampa Bay Youth Football & Florida Youth Athletics Association.
PARENTS CODE OF ETHICS
• I will support the team and coaches that he/she plays for.
• I will encourage good sportsmanship by demonstrating positive support for all players, coaches and officials at every game, practice or other youth sports event.
• I will place the emotional and physical well being of my child ahead of my personal desire to win.
• I will support the coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all.
• I will remember that the game is for the players/cheerleaders - not for adults.
• I will do my best to make youth sports fun for my child.
• I will help my child enjoy the sports experience by doing whatever I can, such as being a respectful fan, assisting coaches, or providing transportation.
• I will expect my child to treat other players, coaches, fans and officials with respect regardless of race, sex, creed or ability.
• I will not interfere with the team policies and behave as a fan supporting his/her team.
• I will not start any fights or arguments with the coaches, referees, or the opposing team.
• I will support good sportsmanship and fair play.
BY CHECKING THIS BOX AND ENTERING THE SECURITY CODE BELOW I AGREE THAT I HAVE READ AND AGREE TO ABIDE BY THE TERMS ABOVE
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