Flag Football Registration Form

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.
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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
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SIGNATURE
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