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2018 Superior YMCA Flag Football
This form is used for Roster Creation purposes and also serves as the waiver for participation. PAYMENT ON THE SEPARATE YMCA SYSTEM MUST ALSO TAKE PLACE FOR PARTICIPATION TO BE ALLOWED.

Last Name *
Your answer
First Name *
Your answer
Child's age as of Sep 1, 2018 *
Your answer
Child's Birthdate
Child's T-Shirt Size *
Name of Parent(s) *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
School Attending *
Each team is led by volunteer parent/coaches. Are you able to help out your child's team? *
If YES to previous question: Have you coached youth sports in the past? (if NO to previous question, skip this and next question)
COACHES' T-SHIRT SIZE
I hereby give my permission and approval for the above-named child to participate in all Flag Football activities during the 2018 season. I assume all risks and hazards incidental to such participation, and I release the YMCA, supervisors, and coaches from any claim arising from an incident or injury to my child. I also understand that the my child's photo might be used for future promotional efforts and if I object, I must communicate these wishes in an email or in writing to Jon Reimer, the YMCA's Activities Director. By answering this question, this will serve as my digital signature. *
PAYMENT OPTIONS *
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