2026 TACKLE football Registration (7/8, 9/10, 11/12)

* Required Fields
Printer-friendly blank form
Fee: $50.00
Participant Information
*This form is for TACKLE FOOTBALL, if you wish to play flag please use the other form*
*Player LAST Name
*Player FIRST Name
*Player MIDDLE Name (if no middle name, type NONE)
*Street Address
*City
*State
*Zip Code
*Phone
*Player Date of Birth
*Player Gender
 Male 
 Female 
*School Currently Attending
*School Boundaries you live in
*Player T-shirt size
*If not enough for tackle, would child play flag?
 Yes 
 No 

You will be required to provide a copy of your child's birth certificate before practice begins.
*
 Check this box to agree to the birth certificate rules. 
Parent/Guardian 1 Information
*Relationship
*LAST Name
Don't type in this field
*FIRST Name
Email Address
Home Phone
Work/Cell Phone
Employer
Occupation
Parent/Guardian 2 Information
Relationship
LAST Name
FIRST Name
Home Phone
Work/Cell Phone
Employer
Occupation
Volunteer Information
Parents, if you are interested in volunteering your time and energy to assist in the following areas, please check appropriate box or boxes.
Head Coach
 If you check this box, please fill out the APPLICATION TO COACH 
Medical/Emergency Contacts
Medical Insurance Carrier
Does the player have any present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness, or any other significant medical conditions?
*
 Yes 
 No 
If yes, please state problems here
If you wish to have your family doctor contacted in case of emergency, please list name and phone number:
Physician Name
Physician Phone Number
Emergency Contact Name
Emergency Contact Phone Number
Relationship

Waiver/Disclaimer
I, the parent/guardian of the above mentioned individual, acknowledge that participation in athletic events involves risk of physical injuries.  In consideration for accepting the registration of the above named individual and permitting the voluntary participation of said individual in the Morgan County Park and Recreation Department Sports Program, I here release, discharge and hold harmless County of Morgan, its volunteers and all other representatives of the County from any claims arising out of or relating to any injury that may result to said individual during any Park and Recreation Department sponsored events, including any injuries caused by the negligence of any official, referee, coach, Park and Recreation Department volunteer or representative while performing his/her duties during any practices, games or transporting of individuals to and from Park and Recreation events.
*
 Check this box to agree to this Waiver/Disclaimer 

Concussion & Head Injury Disclosure
As a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions.  By agreeing to this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.
*
 Check this box to agree to this Waiver/Disclaimer 
Parent/Guardian Signature

Parent/Guardian Code of Ethics
I hereby pledge to provide positive support, care, and encouragement for my child participating in youth sports by following this Parent/Guardian Code of Ethics:
I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every game, practice or other youth sports event.
I will place the emotional and physical well-being of my child ahead of a personal desire to win.
I will insist that my child play in a safe and healthy environment.
I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all.
I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol and will refrain from their use at all youth sports events.
I will remember that the game is for youth - not for adults.
I will do my very best to make youth sports fun for my child.
I will help my child enjoy the youth sports experience by doing whatever I can, such as being a respectful fan, assisting with coaching, or providing transportation.
I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed, or ability.
I will never ridicule or yell at my child or other participant for making a mistake or losing a competition.
I will respect the officials and their authority during games and will never question, discuss, or confront coaches or referees at the game field, and will take time to speak with coaches at an agreed time and place.
I will refrain from using profanity during youth sports events, including games and practices.
I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of others.
I also agree that if I fail to abide by the aforementioned rules and guidelines, I will be subject to disciplinary action that could include, but is not limited to the following:
Verbal warning by official, head coach, and/or member of league organization
Parental game suspension
Written warning
Parental season suspension
*
 Check to agree to the Parent/Guardian Code of Ethics 
Please type your first name, last name, and today's date in the boxes below.  This will serve as your electronic signature.
*FIRST Name
*LAST Name
*Date
Payment Options
*Payment Amount $35.00
Total Due:
$ 
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