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Registration Form 09/10

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MARSHFIELD YOUTH FOOTBALL LEAGUE
(www.marshfieldyouthfootball.com)
(Affiliated with Old Colony Youth Football League www.ocyfl.com)
REGISTRATION FORM

Player's Name: _____________________________________

D.O.B.: _____________________________________________
(Player's team is determined by AGE)

Parents' Names: ______________________________________

_____________________________________________________

Mailing Address (include P.O. Box:) _____________________________________________________

_____________________________________________________

Home Phone: ________________________________________

Cell Phone(s): _______________________________________ ____________________________________________________

E-Mail(s): __________________________ ______________________________

Gr./School Fall of '09: __/____ '10: __/____ '11: __/____
'12: __/____ '13: __/____ '14: __/____

(i.e.: 7/FBMS; 4/SRS)

REGISTRATON FEE: $195/PLAYER; $325/FAMILY

PARENT GUARDIAN PERMISSION:
I understand that football is a contact sport in which injury, even serious injury, may occur. I give my child/player unconditional permission to participate in all on and off field activities of Marshfield Youth Football. I agree to hold harmless and release from all liability all members of the Marshfield Youth Football Board of Directors, coaches, and any other person assisting in the operation of the program, including those providing transportation to games and events. I also give permission to Marshfield Youth Football, its coaches, volunteers and staff to seek any necessary medical care for my child/player and for which I assume full responsibility for any cost incurred.

SPORTSMANSHIP AND COMMITMENT AGREEMENT:
We agree to conduct ourselves in a sportsmanlike manner at all times. We pledge to be respectful of teammates, coaches, officials, opposing players and fans. We understand that failure to abide by this agreement may result in suspension from the program. We understand that poor attendance can compromise the learning experience for our player and teammates. Therefore, we agree to attend all practices, scrimmages and games as scheduled by coaches and league and to communicate our absences should they be necessary.

_______________________________________________
Player Name (please print)

_________________________________________________
Parent/Guardian Signature

INSURANCE INFORMATION:
Medical Insurance Company and Policy #:
____________________________________________

 

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Marshfield Youth Football
PO Box 325
Marshfield Hills, MA 02051

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