Linden Youth Football & Cheer
Football Player Mighty Mights - $125.00* Bantam, JV, Varsity - $175.00
Cheerleader TBD _____________________________________________________
Player’s First Name: _________________Last Name: __________________ Date of Birth: ___________
Physical Address: ____________________________________ City: ________________ Zip _________
Mailing Address: ____________________________________ City: ________________ Zip__________
Home Phone: _____________________ Parent’s Cell: Mom _______________ Dad ________________
Email Address: _____________________@_____________ would you like Email updates? __________
Returning Lion Player Years played: _____________ Team/ League: MM Bantam JV Varsity
Played but not for Lions Siblings Playing: _______________________________________
New- No team experience
Medical Insurance: _____________________________________ Medical # ______________________
Medical Conditions: ___________________________________________________________________
Attach a copy of current Medical Insurance card
School attending in fall of 2010-2011:___________________Player’s Grade in fall 2010-2011: ____________
FB Approx Weight:_______ Shirt Size Y or A Pant Size __________ Sock Size Y or A
Please PRINT Parents/Guardians Names: ___________________________________________________
Signature of Parent /Legal Guardian: __________________________________ Date: _______________
BY SIGNING ABOVE, I attest that all the information is true and correct to the best of my knowledge and have been informed that knowingly falsifying registration information may result in sanctions against said child’s participation.
I ALSO AGREE TO THE FOLLOWING TERMS: As a parent/guardian of the child registered heron, I give approval for the child’s participation in this activity. I assume all risk of participation including transportation to and from all events associated with this activity and hereby release, waive, absolve, discharge and agree to hold harmless the LYF, its officers, organizers, directors, board members, sponsors, participants and persons transporting said child to and from activities, and the MLYAC from and against any claim arising out of any injury to said child. I agree to pay the registration fee and to return all uniforms and equipment issued to say child in the same condition as when received except for normal wear and tear. I agree to wash practice and game uniforms at least weekly and follow the cleaning instructions provided by the LYF. Failure to wash uniforms will result in a replacement fee for any ruined items. In the event I do not return all equipment at the end of said child’s football season, I will pay $300.00 (three hundred dollars) to replace said equipment plus all litigation costs arising from any collection actions. Two attempts will be made by the LYF to secure the return of said equipment). LATE PAYMENT/REGISTRATIONS for football players received after May 16, 2009 are subject to a $50.00* fee increase due to equipment and uniform ordering done in bulk, unless special arrangements have been made. FOOTBALL WITHDRAWAL/REFUNDS: Withdrawals prior to July 26 ,2010 will receive a 50% refund. After that date NO REFUNDS WILL BE GIVEN. Special refunds will be considered for medical reasons only. Cheerleading measurements will be taken no later than the Cherry Festival. No Cheerleading refunds will be given.
________________________________________
I have read and understand the Linden Youth Lions Football & Cheer Rules 1-18. My child and I will faithfully abide by all rules & regulations. I agree to volunteer at my assigned time and position. If I am not able to do so, I understand that it is my responsibility to make arrangements with another parent to fill in for me and to contact the volunteer coordinator of the changes.
Signature of participant: ____________________________________________ Date: _______________
Signature of Parent /Legal Guardian: __________________________________ Date: _______________ | 
