Morrisville Little Bulldogs 38 Hillcrest Avenue Morrisville, PA 19067 Morrisvillelittlebulldogs.org (circle one) Football / Cheerleader # 1 (circle one) Football / Cheerleader # 2 (circle one) Football / Cheerleader # 3 Name: Name: Name: D.O.B.: D.O.B.: D.O.B.: Age: Age: Age: Has this child been a Football player or cheerleader prior to this year? YES NO If yes how many years? Has this child been a Football player or cheerleader prior to this year? YES NO If yes how many years? Has this child been a Football player or cheerleader prior to this year? YES NO If yes how many years? Including this year, for how many years has this participant been a Little Bulldog? Including this year, for how many years has this participant been a Little Bulldog? Including this year, for how many years has this participant been a Little Bulldog? Insurance Provider: Insurance Provider: Insurance Provider: Insurance Policy #: Insurance Policy #: Insurance Policy #: Policy Holder's Name and D.O.B.: Policy Holder's Name and D.O.B.: Policy Holder's Name and D.O.B.: Family Information: Parent or guardian information: Parent or guardian address: City First name, Last name, contact #, e-mail address State Zip Emergency contact (other than above): First name, Last name, contact # Volunteer opportunities: The Morrisville Little Bulldogs is a volunteer based organization. In order to run efficiently we need ALL Parents to volunteer. Please circle all of the categories listed below in which you will be able to assist this season. Field / Building maintenance Team parent Assistant Coach Fundraising Family day Concession stand Corporate sponsor Awards banquet All families are responsible for helping at the concession stand throughout the season! Parent / Guardian signature Date Morrisville Little Bulldogs 38 Hillcrest Avenue Morrisville, PA 19067 Morrisvillelittlebulldogs.org Consent and Release: This document is to certify that I in consideration of the benefits to my child / children_________________________________ ____________________________________________________________________ and other children to be gained through their Participation in the athletic activities sponsored by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization, it's organizers, sponsors, officers, managers, coaches, and members of said organization, do hereby release and agree to save harmless the said Morrisville Little Bulldogs Youth Football and Cheerleading Organization and the organizers, sponsors, officers, managers, coaches, and members of any other school or organization participating in such athletic activities with the Morrisville Little Bulldogs Youth Football and Cheerleading Organization, from any and all claims or actions whatsoever based upon the transportation of the participants, or the playing, equipment, or operation and / or management and coaching said participants team or organization in the activity sponsored by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization. I, the undersigned parent or legal guardian, do hereby grant permission to any licensed physician to perform or provide necessary emergency medical care or aid to my child named above in connection with the playing of Football or Cheerleading. As the Parent / Guardian of the above named child / children, I accept full responsibility for all of the Football / Cheerleading equipment / uniforms issued to the above named participant by the Morrisville Little Bulldogs Youth Football And Cheerleading Organization. This responsibility includes cleaning and maintaining the uniforms to keep them in good condition. Equipment including game and practice uniforms are to be worn for organized Morrisville Little Bulldogs practices, games, and events only. All issued equipment must be returned either at the time the participant resigns, is removed from the team, or at the end of the season at a time and place to be determined by the organization. I agree to pay for any and all equipment not returned in an acceptable condition at the actual replacement cost. "Acceptable condition" will be determined by the Morrisville Little Bulldogs Board and its decision will be final and binding. Full equipment / uniform replacement cost is $400 for Football participants, and $125 for Cheerleading participants. I also agree to pay any legal fees incurred by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization if legal action is required to fulfill this contract. The cost of maintaining damaged or broken equipment during the season will be incurred by the Morrisville Little Bulldogs as long as the damage or equipment brake was due to normal use. "Normal use" will be determined by the Morrisville little Bulldogs Youth Football and Cheerleading Organization Board and its decision will be final and binding. I agree to return upon request the uniform and all other equipment issued to my child named above in good condition or be financially responsible to replace it. I agree to abide by all rules and regulations set up by Morrisville Little Bulldogs Youth Football and Cheerleading Organization and it sanctioning bodies (AYF & Little Guys Conferences) governing this sport. Also, please note that the American Youth Football and Little Guys Conference rules dictate that all Football players are required to wear and athletic cup. If the player is not wearing this during practice and / or games the participant will be ruled ineligible to participate and removed from the field. I hereby consent to and authorize the use and reproduction by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization or anyone authorized by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization, of any and all photographs, video, or other image that have been taken or will be taken during the course of this football / cheerleading season of my child for any purpose without compensation to me. All negatives and Positives, together with the prints, are owned by the Morrisville Little Bulldogs Youth Football and Cheerleading Organization. The Organization reserves the right to use these images in any of its print or electronic publications and will not be sold to any outside sources for use. No Refunds will be issued for any reason after August 15 for Football players and August 31 for cheerleaders. By signing below, I hereby acknowledge that I have read and understood the terms of this release. Parent / Guardian Signature Parent / Guardian Name (Printed) Date MLB Representative Signature MLB Representative Name (Printed) Date Morrisville Little Bulldogs 38 Hillcrest Avenue Morrisville, PA 19067 Morrisvillelittlebulldogs.org No Uniforms will be issued until all registration fees and deposits have been paid in full. Participant Name and DOB: Total equipment deposit Due:_________ Amount Paid:______________________ Payment method cash / check #______ Date Paid:_________________________ MLB Rep. Initials:___________________ Deposit refund date:________________ Parent/ Guardian Signature: Football Code of Conduct: Helmet size: 2 Cheek pads: Chin Strap: Shoulder Pads: Practice Pants: Practice Jersey: Date issued: Date returned: Game Pants size: Game Jersey # / size: Date issued: Date returned: Cheerleader Code of Conduct: Skirt: Vest: Bloomers: Turtleneck: Pom Pom's: Date issued: Date returned:
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