2019 Red Rock Football Registration

* Required Fields
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Fee: $150.00Includes Jersey to keep. Helmet, Shoulder Pads, Pants to use.
     
Red Rock Youth Football Registration


Participant Information
*First Name
Middle Initial
*Last Name
Nickname
Registration Code
Gender
 Male 
 Female 
*Date of Birth
mm/dd/yyyy
*Grade
*Age as of 8/1/19
Street Address
Don't type in this field
City
State
Zip Code
Participant Email
Home Phone
Mobile Phone
School
Years of experience
Skill level
Shirt Size
Pant Size
*Please list 3 jersey number choices
Return to the same coach?
 Yes 
 No 
Player Request
Coach Request
Participant Medical Information
Height
Weight
Medical Conditions/Allergies
Special Needs/Requests
Physician Name
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone(s)
Physician Phone
Medical Insurance Carrier
Insurance Policy #
Parent / Guardian 1 Information
*Guardian 1 Name
Relationship
Street Address
City
State
Zip Code
*Guardian 1 Email
Daytime Phone
*Mobile Phone
Volunteer - Coach
  
Volunteer - Asst Coach
  
Parent Code of Conduct

I hereby pledge to provide positive support, care, and encouragement for my child participating in youth sports by following this Parents’ Code of Ethics Pledge:

Ø  I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every game, practice, or other youth sports event.

Ø  I will place the emotional and physical well-being of my child ahead of a personal desire to win.

Ø  I will insist that my child play in a safe and healthy environment

Ø  I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all.

Ø  I will demand a sports environment for my child that is free of drugs, tobacco, and alcohol and will refrain from their use at all youth sports events.

Ø  I will remember that the game is for youth - not adults.

Ø  I will do my very best to make youth sports fun for my child.

Ø  I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed, or ability.

Ø  I will require that my child’s coach be trained in the responsibilities of being a youth sports coach and that the coach upholds the Coaches Code of Ethics.

Ø  I will encourage my child at all times and teach them that honest effort is as important (maybe even more important) than winning.

Ø  I will remain in the spectator area during competitions.

Ø  I will support my child’s coach and let him/her coach during the game.

Ø  I will accept that officials are doing the best job they can.

Ø  I will keep my emotions under control.

Ø  I will help when asked by a coach or official.

Ø  I will remember that my child will get the most out of sports with my love and positive support.                                  © National Alliance for Youth Sports

*Parent Code of Conduct Agreement
 I have read and agree with the code of conduct. 
Waiver

Acknowledgment, Waiver and Release of Liability

 

            In consideration of the use of property, facilities and/or services of the Red Rock Football League (RRYFL), the undersigned        agrees as follows:

 

1.        I hereby acknowledge and understand that my participation, or the participation of my minor child(ren) whose names appear below, in recreational activities sponsored by the Red Rock Football League (RRYFL) may involve bodily and/or emotional injury and death to me and/or my child(ren).  In consideration of my or my child(ren) being able to participate in such events, I, for myself, my child(ren), my heirs, assigns, executors and administrators, hereby assume all risk of such injury or death, and do hereby voluntarily and knowingly indemnify, hold harmless, defend, release, waive and discharge the Red Rock Football League (RRFYL), its officers, employees, and any volunteers or owner of property where such event or activity is held, from any and all suits, claims or liability, including negligence, based on any injury except that caused solely by the willful misconduct of the Red Rock Football League (RRFYL) that may result from my or my child(ren)’s participation in activities or events sponsored by the Red Rock Football League (RRYFL). In addition, I agree that I or my insurance company shall be responsible and liable to pay for all medical and emergency services expenses or other expenses resulting from my or my child(ren)’s participation in such events or activities.

   

 

2.        The undersigned agrees that, prior to his/her or his/her minor child(ren)’s participation in any such event or activity, he/she shall  be responsible to inspect the facilities and/or equipment to be used, and that any participation in such event or activity shall constitute his/her acceptance of such facilities and/or equipment in an “as is” condition.  The undersigned further agrees that if he/she believes that at any time an unsafe condition exists, he/she will immediately advise their coach or supervisor of such condition(s) and thereafter refuse to participate.

 

 

3.        I hereby authorize and give my consent to the staff/coaches of the Red Rock Football League (RRYFL) to act in my behalf as an individual, parent or guardian in accordance with their best judgment in the case of an emergency, including the authorization of emergency medical treatment or first aid for me or my minor child(ren), if I am not present or am otherwise unable to do so.  In such event, I agree to assume full responsibility for all expenses, medical or otherwise, that may arise therefrom.  I understand that my insurance company or I will pay for such emergency treatment.

 

4.        I hereby certify that I am the parent, guardian or legal custodian of the minor child(ren) whose names, addresses and ages appear below.

 

 

5.        I grant to Red Rock Football League (RRYFL), the right to take photographs of me and my family in connection with the above-identified event. I authorize Red Rock Football League (RRYFL), its assigns and transferees to copyright, use and publish the same in print and/or electronically.

 

 

6.     By signing this Acknowledgment, Waiver and Release of Liability, I acknowledge and represent that I have read and understand its contents and disclosures, and that I agree to all terms and conditions stated herein.

 

*Waiver confirmation
 I have read and agree with the waiver. 
Personal Equipment Waiver
Waiver

 Safety of the athletes while participating in football in one the Red Rock Football League (RRFYL) top priorities. To satisfy this priority, Red Rock Football Youth League provides safety equipment including helmet, shoulder pads and pants to it athletes which meet appropriate safety guidelines for prevention of injury. Should the participating student athlete and parent (or legal guardian) wish to use their own personal helmet and/or shoulder pads, rather than the school issued equipment, then Red Rock Youth Football League or its employees will not be held responsible or liable in the event the personal equipment being utilized does not perform to the same standards as the district issued equipment. The participating student athlete and parent/guardian must understand the risk associated with using personal helmet/shoulder pads for football practice and games. Any personal equipment must be inspected and approved by a league official.

 

I hereby agree that I, on behalf of myself, spouse and child that we are assuming any and all liability for any injuries that occur while using this personal equipment. As a result of the participants use of personal equipment rather than the league issued equipment.

Personal Equipment Waiver
 Personal Equipment Waiver 
The Policy

1. Patrons wishing a refund will incur a 25% service fee which will be taken off the amount to be refunded. If jerseys have been ordered the participant will have to pay for the jersey as well plus the 25% fee.

2. No cash refunds will be issued at any time

3. No Refunds after the first game.

 

*Refund confirmation
 I have read and understand the refund policy. 
Would you like to make a donation to provide a scholarship for a needy child?
Scholarship donation
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