Reg Down Payment | Yorktown Patriots Youth Football and Cheer

Player/Cheerleader Info.

Football or Cheer*

Football
Cheer

Child Name*

First Last

Did Player or Cheerleader play for another team last year?*

Which team did they play for last year*

Date of Birth*

Please make sure birth date is correct.

Child Age as of 7/31/21*

** Players / Cheerleaders must provide a copy of their Photo ID (DMV ID, Military ID, Passport) with this application. Participants will not be permitted to participate in practice if a copy of their photo id has not been received.** To play football children must be at least 5 years of age by 07/31/21 and not older than 14 years of age on 07/31/21 to participate. Cheerleaders must be 6 years old to cheer.

Child Photo ID, Military ID, or Passport*

Yes
No

All players and cheerleaders must have an ID for 2021 Fall Season.

Are you scheduled to get an ID?*

Child's School Name*

Child’s Weight*

Child's Shoe Size*

Football Jersey Size*

Football Pants Size*

Cheer Top*

Cheer Bottoms Size*

Medical Conditions?*

Medical Conditions: Participation in football requires the ability to run, tackle, block, catch a football and understand the rules of the game. Participation in cheerleading involves the ability to run, jump, tumble and understand instruction. Does your child have any current conditions that limits his or her ability to participate in these activities? If yes, please explain:

Medical Condition Explained*

Parent Information

Parent Name*

First Last

Parent Mobile*

Parent Email*

Additional Parent Info?*

2nd Parent Name*

First Last

2nd Parent Phone*

2nd Parent Email*

2021 Football Season Agreement and Consent

The undersigned hereby grants permission for the above named youth to participate in any and all activities of the “Yorktown Patriots”. I assume all risk incidentals to such participation, including transportation to and from all activities. I hereby waive, release, absolve, indemnify and agree to hold harmless PYFCO, Yorktown Patriots, its’ league officials, respective coaches, other players, parents/ guardians, sponsors, participants, volunteers and any other persons transporting my child. I further grant permission for emergency first aid to be given to the minor child in case of injury. Furthermore, I grant permission for my minor child to be taken to the emergency room of a nearby hospital, and the hospital and its medical staff have my authorization to provide treatment which a physician deems necessary for the well-being of my minor child.

Initials (Volunteering)*

Volunteering: By submitting this registration, I understand that every parent is required to support the league by working in the concession stand for 1 sixty minute shifts or assist on the field during game day as well as trash pick up, etc. per child. There is no opt out fee for volunteering; everyone is expected to do their part. Unless extenuating circumstances and after final review by "Yorktown Patriots Board”, any parent that does not fulfill this obligation will have their child benched for 1 game and/or up until that obligation is fulfilled.

Initials (Equipment Issued)*

Equipment Issued: I understand that I am responsible for any equipment or uniforms received during the season and agree to return all equipment at the end of the season or I will be charged for the cost of the equipment or uniform.

Initials (Photo release statement)*

Photo release statement: I also hereby consent, without further consideration or compensation, to the use (full/partial) of all photos, audios or videos made of my child or family members during Yorktown Patriots sporting events, for the purposes of event documentation, promotional materials or web content . Further, I release Yorktown Patriots and its volunteers from any liability, which may arise from the use of those photos.

Initials (Photo ID)*

Photo ID: I understand that assignment of my child to the league teams/position is at the discretion of the league officials. I will furnish the league a certified Photo ID, Military ID or Passport ID (and one copy) for the above named child prior to the first week of practice (as required by PYFCO).

Initials (Parent Participation)*

Parent Participation: I/we understand that no parent, guardian or relative of the child registered above is permitted on the practice or game field during the course of the games or practices without proper security clearances and approval from Yorktown Patriots Organization.

Initials (Refunds)*

Refunds: No refunds are available once regular practice starts. Credit Card service fees, administration fees, and any equipment or uniform ordered will be deducted from refund.

Initials (League Fees)*

League Fees: I/we understand that all league fees must be paid entirely prior to receiving equipment or uniforms for the upcoming season.

Parent Signature*

Payment Info.

2021 Registration For:*

Total

$0.00

Billing Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone

This field is for validation purposes and should be left unchanged.

2021 Registration Form

Player/Cheerleader Info.

Parent Information

2021 Football Season Agreement and Consent

Payment Info.