Youth Flag Football League
•
•
•
•
•
•
January 30 - March 24
$65 per child
6 games guaranteed
Ages 5 to 11
Games will be played on Mondays, Fridays, and some Saturdays
Reversible Jerseys are available at a one time cost of $10
Phone: 308-384-1999
Email: [email protected]
Web: grand-island.com/fieldhouse
Like us on Facebook and keep up
on all the Fieldhouse news!
www.facebook.com/GIFieldhouse
Registrations due by December 30, 2016
Youth Flag Football
Child’s Name:____________________________Age:____Birthdate:________Grade:_______
Parents Name(s):__________________________________Phone:_____________________
Address:___________________________________Child’s School:____________________
City:______________________________________State: _______ Zip:_______________
Email Address:_____________________________________________________________
*The following criteria will be used when placing children on teams: age, school, and experience.
The Fieldhouse relies on the generous support from volunteer/parent coaches. I am interested in coaching my child’s
team: (circle one) YES or NO
I acknowledge as the legal guardian of a participant in the City of Grand Island Youth Flag Football Program the existence of and assume full responsibility for certain
risks associated with this program which may cause damage to property or personal bodily injury or death to the participant. PHOTO PERMISSION: I do herby grant
permission for pictures to be used in publicity or brochures related to Grand Island Parks and Recreation. My signature on this waiver verifies that I will not hold the
City of Grand Island liable or accountable for any injury to myself or my legal dependents while participating in City of Grand Island Youth Flag Football.
_________________________________________
Parent or Guardian Signature
______________________________________________
Please Print Name
____________________
Date
Return form and payment to: Grand Island Parks and Recreation Dept., City Hall, PO Box 1968, Grand Island, NE 68802