TO: ADULT FLAG FOOTBALL PROGRAM -- CAPTAINS AND COACHES FROM: AARON CHEEKS, RECREATION COORDINATOR AND SUPERVISOR ADULT SPORTS DIVISION DATE: March 7, 2017 RE: ADULT FLAG FOOTBALL LEAGUE REGISTRATION ____________________________________________________________________________________________ Welcome to another exciting season of Adult Flag Football. Enclosed you will find all of the information needed to register for the 2017 Adult Spring Flag Football League. Please adhere to the following procedures in returning the registration packet. 1. 2. 3. 4. 5. Registration forms and rosters MUST BE TYPED and all the information must be completed. The registration fee for Co-Rec $450.00 Season will start Wednesday, April 19, 2017 and games played at FREEDOM PARK (1900 East Blvd, Charlotte, NC 28203) All fees can be paid in the form of a company check, bank check, money order or by credit card (Visa or Mastercard only). Make checks payable to: MECKLENBURG COUNTY PARK AND RECREATION DEPT. Any entries submitted without the information listed as above will not be accepted. REGISTRATION DATES: 1. All teams must register between– March 7- April 11, 2017. 2. All registration packets must be either dropped off or mailed to the following address prior to the April 11th deadline: Revolution Park Sports Academy 1225 Remount Rd CHARLOTTE, N.C. 28208 ATTENTION: AARON CHEEKS COMPETITION LEVELS: (All 7-MAN unless indicated) 1. (A) DIVISION = Competitive teams consisting of players that may have had college experience and/or several years of organized play. GENERAL INFORMATION: 1. All Coaches/Captains must attend a MANDATORY pre-season organizational meeting on April 12, 2017 at 7pm Revolution Park Sports Academy. (Rules and regulations will be reviewed) 2. The Park and Recreation Department reserves the right to make adjustments in league playing sites and nights of play, if necessary. 3. All teams are guaranteed a minimum of eight (8) games and the top teams qualify for a post-season single elimination tournament. Players are required to wear the same color jersey and each jersey must have at least a six (6) inch number on the back. 4. Paid officials (referees) are provided for all regular season and tournament games. FOR MORE INFORMATION, PLEASE CONTACT AARON CHEEKS (ATHLETIC COORDINATOR – ADULT PROGRAMS COORDINATOR AT (704) 336 –7639 OR E-MAIL AT [email protected] ADULT FLAG FOOTBALL REGISTRATION FORM TEAM NAME:__________________________________________________________ CAPTAIN/COACH NAME:_______________________________________________ MAILING ADDRESS:____________________________________________________ CITY:_____________ STATE____________ NC____________________ PHONE: (C)_________________ (H)________________ (W)____________________ (FAX):_________________ email___________________________________________ ------------------------------------------------------------------------------------------------------------ Make payment payable to: MECKLENBURG COUNTY PARK AND RECREATION DEPT. -----------------------------------------------------------------------------------------------------------DEADLINE: APRIL 11, 2017 SEASON BEGINS: APRIL 19, 2017 Contact: Aaron Cheeks-Adult Athletic Programs Coordinator, Revolution Park Sports Academy 1225 Remount Rd, Charlotte, NC 28208 @ 704-336-7639 or [email protected] CAPTAINS MEETING: April 12, 2017 at 7:00pm at Revolution Park Sports Academy 2017 ADULT FLAG FOOTBALL OFFICIAL ROSTER/WAIVER FORM I, THE UNDERSIGNED, HEREBY RELEASE AND DISCHARGE THE MECKLENBURG COUNTY PARKS & RECREATION DEPT. (MCPRD), AGENTS, EMPLOYEES, OFFICERS, REFEREES, AND FACILITIES OF THE MCPRD FROM ALL CLAIMS, DEMANDS, ACTIONS, AND JUDGMENTS WHICH I MAY HAVE, OR CLAIM TO HAVE, AGAINST THE MCPRD FOR ALL PERSONAL INJURIES, AND ALL INJURIES TO PROPERTY, BOTH REAL AND PERSONAL, CAUSED BY, OR ARISING OUT OF, PARTICIPATION IN GAMES, OR OTHER LEAGUE/TOURNAMENT SPONSORED FUNCTIONS BY THE MCPRD, IT’S AGENTS, EMPLOYEES, AND OFFICERS. I HAVE NO PHYSICAL CONDITION THAT WOULD PREVENT ME FROM PARTICIPATING IN THE LEAGUE/TOURNAMENT SPONSORED BY THE MCPRD. I AM IN GOOD HEALTH AND PHYSICAL CONDITION. I FULLY UNDERSTAND THE DANGERS INVOLVED IN THIS TYPE EXERCISE, FUNCTION, COMPETITION AND PRACTICE. THE MCPRD RECOMMENDS ALL PARTICIPANTS HAVE A HEALTH PHYSICAL OR CONSULT YOUR DOCTOR IF YOU ARE UNSURE OF YOUR PARTICIPATION IN THIS TYPE ACTIVITY. WHILE RULES EXIST TO HELP CONTROL PLAY, THIS IS A CONTACT SPORT AND CONTACT SHOULD BE EXPECTED. IT IS THE RESPONSIBILITY OF THE INDIVIDUAL PLAYER OR PARTICIPANT TO MAINTAIN HIS/HER OWN HEALTH AND ACCIDENT INSURANCE. THE MCPRD ACCEPTS NO RESPONSIBILITY IN THIS MATTER. THE MCPRD IS NOT RESPONSIBLE FOR ITEMS LOST OR STOLEN; OR PROPERTY DAMAGE. (ALL PARTICIPANTS MUST SIGN BELOW TO BE ELIGIBLE TO PARTICIPATE) TEAM NAME:______________________________________________ DATE:____________________ PLAYERS' FIRST & LAST NAME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SIGNATURE 21
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