Denton All-Star Youth Football League
PO Box 51105
Denton, Texas 76205
www.dayfl.org
League use:
Copy of Report Card:________
Copy of birth Certificate:_______
Denton All-Star Youth Football League
Football and Cheer Registration
Please print when completing form.
Football Registration: ____________
Cheer Registration: ____________________
Player Name: ____________________________ Age( as of 08-31-2016)___________
Male______ Female______ Birth Date: ___________Grade 2016 school year: ______
Parent/Guardian: __________________________ Cell Phone: __________________
Address: _______________________________City: _____________ Zip: __________
Email address: _____________________________________________
Special Request: ________________________________________
Siblings in League: ______________________________________
Medical/Photo Release
This form is designed to meet the legal requirements established in HB145.2 of the 61st legislative session,
which provides that any person who has custody of a minor may give consent to medical care if that person
has an affidavit signed by one or both parents or guardians authorizing the person to give consent. This is
to certify that I, Parent/Guardian of ___________________ herby grant permission to the adult coach or
league official of the Denton All-Star Youth Football league to obtain medical care from any licensed
physician or medical clinic for the player named herein at such times as either parent or guardian cannot be
contacted in person or by telephone. This authorization shall include all legal activities, including the period
to travel to and from those activities. We do hereby waive, release, absolve, indemnify and agree to hold
harmless the Denton All-Star Youth Football League and its Board, organizers, supervisors, participants
and persons transporting the player to and from those activities, for any claim arising out of injury to the
player. I agree that DAYFL may use such photographs of my child with or without my name and for any
lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content
Signature of Guardian: _______________________Relationship:_____________ Date:______
Registration Cost:_______________
Out of City Fee: $5.00
Total Due: ____________________ Collected: ________________ Board Member Initial: _________
Form of Payment: Cash Check #: ________ Credit Card: _______type, last 4 digits of card______