Miami Youth Football League

Player Registration Form

https://www.facebook.com/Miami.Wardogs.Youth.Football Players Name___________________________________________________ Date __________________________ Address ____________________________________________________ City, State Zip________________________ Age ___________ Date of Birth ________________________ Grade _____ School ______________________ Players Parents Names ______________________________________________________________________________ Cell Phone ______________________________________ Cell Phone ____________________________________ Home Phone _____________________________________ Other Phone ___________________________________ Email Address ______________________________________________________________________________________ Players Height ____________________ Players Weight ______________________ Tribal Member ________ Member of what Tribe ____________________________________________________

Release of Liability Contract

My child has my permission to participate in all Miami Youth Football League sponsored or endorsed activities. Miami Youth Football League and its officers, Board Members, coaches, coaching staff, agents, lecensees are hereby released from any and all liability or responsibilty for any injury that may occur to my child, to me, to my spouse, to any of my other children, resulting directly or indirectly from my childs participation in Miami Youth Football League activities including but not limited to league tournaments and practice games, practices, transportation to and from games, tournaments or otherwise, and the use of practice facilities, game facilities, concession facilities or any other facility. We shall abide by the rules and regulations of participation of Miami Youth Football League (MYFL).

Insurance Release Please check the appropriate box and complete the required information.
My child is covered by the following medical / accidental insurance: Insurance Co. Name ______________________________________________________________________ This is to certify that we have NO INSURANCE policy that will cover by child. However, he/she has my permission to participate in all Miami Youth Football League activities.

Authorization for Emergency Treatment

I hereby authorize any physician, surgeon or dentist on the medical staff of the nearest Emergency Medical Center to administer any emergency treatment, procedure or medicine necessary or advisable when accompanied by an adult; I further authorize my child (players name) _________________________________ to be transported to the nearest emergency room. I also authorize officials at Miami Youth Football League to secure the use of an ambulance, if necessary, for transporting my child to the hospital, and/or to administer first aid treatment as necessary. I further agree to pay the hospital, doctors, and ambulance service for all services rendered to the above named patient. I request that this authorization remain in force until the end of the calendar year unless notified in writing of a change by me.

_______ (Initials) Rules and Regulations Contract

I have read the Members Rules and Regulations, of which I have a copy, as stated by the Board of Directors for the Miami Youth Football League. I hereby agree to abide by said rules and regulations. I have also read and fully understand the penalties prescribed for violation or non-compliance of said rules and regulations and by my signature do agree to these terms and conditions.

Payment is required before practice is allowed or equipment is handed out. Make checks payable to: MYFL
Form can also be mailed with check to: MYFL 2603 E Street SW Miami Ok 74354

Signatures Parent/Guardian____________________________________ Date _____________________

MYFL use only: Fee__________________ Amount Paid ___________________ Check # __________________ MYFL Signature _____________________________________________________________________________________