Professional Documents
Culture Documents
CU Flag Football Brochure
CU Flag Football Brochure
CU Flag Football Brochure
To be completed by the team Leader &/or contact person. *All players must be 18
Your Name___________________________________________ Signature_______________________________Date_________ Team Name__________________________________________ Desired Level of Play (I, II, Co-Ed)_______________________ Team Captain/Contact _______________________________ Address_____________________________________________ City_______________ St______ Zip_____________________ Team Leader Phone #_________________________________ Team Leader E-mail:__________________________________ Medical Ins. Co. ______________________________________ Ins. Policy #__________________________________________ Doctors Name/Phone_________________( )__________
2012
Payment Information
$625.00 Sign up by March 1st
Please make checks payable to
Sea Foam Stadium Dome 289 Hamline Ave. North St. Paul, MN 55104
Phone: 651-603-6311 E-mail: Johansen@csp.edu
www.cugoldenbears.com/football Contact phone
Travis Johansen
Cell # 651-603-6311
Concordia Football
The undersigned hereby gives permission for themselves and on behalf of everybody that plays on their team to attend and participate in the CU Flag Football League at Concordia University in St. Paul, Minnesota. I hereby swear and represent that I have received the authorization and consent as to each individual playing on my team, for that individual to get any X-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, hospital care, and/or transportation for such care, to be rendered upon my decision or that of the senior member of my team, such care to be rendered under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be responsible to inform all parties of their team that they are fully liable for any and all injuries and expenses that may come with those situations, and further to insure that any person participating on my team shall have signed the Participant Waiver necessary to permit such participation. I further represent and agree that I have informed all team members that, pursuant to the Participation Waiver, that team member or their parent or guardian must pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned person pursuant to this authorization. Should it be necessary for a person to return home due to medical reasons or otherwise, the participating member and/or the undersigned shall assume all transportation costs. The undersigned does also hereby give permission for the person to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by Concordia University. I further give permission for any pictures or videos taken while participating in the CU Flag Football League to be used at the discretion of Concordia University, its students, faculty, staff, or other representatives. I release and forever discharge Concordia University/CU Flag Football League, their agents and servants, successors and assigns, directors, trustees, officers, employees, and other representatives against loss from any and all present or future claims, demands or actions in law or in equity that may hereafter be made or brought by me, by anyone on behalf of me, or by anyone else on their own behalf for damages or any other legal or equitable remedy on account of any injury, illness, physical condition, inconvenience, or loss sustained the person during the planned activities for which the person is registering to participate. I further agree to indemnify Concordia University, CU Flag Football League, their agents and servants, successors and assigns, directors, trustees, officers, employees, and other representatives against loss from any and all present or future claims, demands or actions in law or in equity that may hereafter be made or brought by me or by anyone on my team for damages or any other legal or equitable remedy on account of any injury, illness, physical condition, inconvenience, or loss sustained by myself or any team member while participating in any fashion in the CU Flag Football League.
Game Play
Finish in the top four of the standings in your division * If there is a tie the following will be the tie breaker standards* 1. Head to Head Competition 2. Total Point Differential, this is total points scored minus total points allowed 3. Total Points scored 4. Total Points Allowed
*Championship Bundle Package* Local gift certificates Team Championship T-Shirt Team Picture and more...
_________________ Date