ABINGTON
YOUTH FOOTBALL/CHEERLEADING
2008 REGISTRATION FORM
(Please fill in all
information and print clearly)
Last Name: _________________________ First Name:
_________________________
Address: ______________________________________________________________
Phone Number: _____________________________
Email: _____________________________________
Date of Birth: _______________________ Present Age: ________ Weight:
__________
Grade and School (as of Sept. 2008)
________________________________________
Family Physician: _______________________________ MD Phone#:
______________
Please list any medical problems or injuries:
___________________________________
REGISTRATION FEE:
$150 one child $200 Family
***THERE
WILL BE A $100 SECURITY DEPOSIT PER FAMILY FOR UNIFORMS.
The check will not be cashed if player’s uniform is returned at the end
of football season.
Uniform will not be distributed without security deposit. Check must
be dated 12/1/08.
***AN ADDITIONAL $30 FEE WILL BE COLLECTED. Each
family will volunteer one home game per season. After completing your
obligation your check will be returned. If you do not volunteer or do not
fulfill your obligation the check will be donated back to the league.
Football teams are limited to 50 players per level and
Cheerleaders to 40 per level. Registration is based on a first come first serve
basis. Football players must submit their application along with a copy of
their birth certificate. (New players only) Application must be filled out
completely to qualify. There will be no exceptions to this regulation. After
the limit has been reached the application will be put on a waiting list, but
this will not guarantee being placed on a team.
I, the parent/guardian of the above named
child, who is signing up to participate in Abington Youth Football hereby give
my consent to his/her participation in any and all of the activities of
Abington Youth Football during the coming season. I assume all risks incidental
to the conduct of the activities. I do further release, absolve, indemnity and
hold harmless Abington Youth Football. For any injury to my child. I hereby
waive all claims against the organizers, sponsors and the supervisors, any and
all of them, in case of injury to any child, and also absolve and release any
person appointed by Abington Youth Football to act as a supervisor and further
absolve and release all persons from claims in the transportation of my child
to and from any direct or indirect activities. I will also be responsible to
return all equipment and/or uniforms issued to my child upon the request of
Abington Youth Football. I understand that I will be responsible for payment of
any missing equipment and/or uniforms at replacement cost as assessed by
Abington Youth Football. I also attest that all information provided above is
true and correct to the best of my knowledge. Failure to provide accurate
information may lead to the immediate dismissal of your child from the program.
I also understand and agree that the registration fee paid is NON-REFUNDABLE for
ANY reason. I/We authorize Abington Youth Football to take photographs of my
child and to distribute and to post on our website any photographs for Abington
Youth Football promotional purposes.
_____________________________________________ ________________________________
(Signature of parent/guardian)
(Date)
_