Youth Football League Player Registration Form BASIC INFORMATION Surname Given Name Nickname Nationality Place of Birth (State / Province and Country) Middle Name Date of Birth (mm-dd-yyyy) Height ___ ___ - ___ ___ - ___ ___ ___ ___ Weight PLAYING INFORMATION Playing Position Goalkeeper Defender Midfielder Striker Registering Club Previous Club (immediately preceding registering club) CONTACT INFORMATION Address (Manila) Mobile Number Email Address QUIT CLAIM AND WAIVER Acknowledgment of Participation Parents / guardians and players should be aware of the possible risks that are inherent in the nature of some of the activities. These risks include, but are not limited to, the potential for accidents or illness while participating. Every attempt is made to minimize the existing risks through proper sports equipment, safe facilities and sound safety practices. However, parents / guardians and players should realize these risks cannot be eliminated. By affixing including the player’s name to the team roster, the player and the parents / guardians understand that the player is participating in the 2017 YFL Football Season at the player’s own risk and hereby agree, indemnify and hold harmless the Youth Football League Associations and the coordinators of the tournament from any liability in connection with the activity. In addition, by affixing the player’s name to the team roster, the player and the parents / guardians understand that the Youth Football League Associations carry no medical or accident insurance that will benefit the player, should the player be injured during the course of the competition. Quit Claim and Waiver I, the parent / guardian of the registering player, affirm that I am aware of my son’s / daughters physical condition and I he / she is voluntarily participating in the 2017 YFL Football Season. I am aware that such participation may result in possible injury as a result of his / her involvement in the sport. In addition, I hereby release all the playing venue managements of any and all responsibility in case of any personal injury sustained by my son / daughter or damage to property of others caused by my son / daughter while participating in the football activities. I have read and understand the above statements and will abide by them. Conformity to the Rules and Regulations I, the parent / guardian of the registering player, hereby state: 1. That my son / daughter is a player of the abovementioned registering club participating in the 2017 YFL Football Season as indicated in this duly accomplished and submitted Player Registration Form; 2. That I have read the official rules and regulations governing the conduct of the 2017 YFL Football Season as well as its annexes or that the same has been read to us in a language that we understand; 3. That I fully understand the obligations and duties that are placed upon our son’s / daughter’s club and upon each of us as parents / guardians in the 2017 YFL Football Season; 4. That I, as shown by my signature hereunder, covenant to allow my son / daughter to attend and participate fully in all official functions and activities, official matches and media engagements connected with the Season and shall arrive in a timely manner and remain until all official activities are completed; 5. That I, as shown by my signature hereunder, allow my son / daughter to be bound by the official rules and regulations of the 2017 YFL Football Season as has been and may be promulgated by the organizers; 6. That I impose these obligations upon my son / daughter willingly and voluntarily and without mental reservation or purpose of evasion. Parent / Guardian Declaration Club Certification The undersigned parent / guardian hereby: - Agrees to the above provisions as enumerated in the Acknowledgment of Participation, Quit Claim and Waiver and Conformity to the Rules and Regulations - Declares that all the above information are true and correct - Agrees to have his / her son / daughter registered with the registering club for one (1) year. The undersigned, as authorized by its Football Club, would like to request the Youth Football League to register the abovementioned player for Season 2017. Name and Signature Designation Football Club Date Name and Signature Date For YFL Use Only: The registration of the abovementioned official is hereby: Accepted Not Accepted The registration accepted / not accepted by: Name Signature YFL Registration ID: TO BE PROVIDED BY YFL Team Form: PLAYER REGISTRATION FORM Date Page 2 of 2
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