2021 PYTF Pre-Registration
Hello PYTF Families!
Until we can get a location to hold an in-person registration, we are asking for any athlete interested in playing in the 2021 season to fill out this Pre-Registration form. We will do sizing in person at a date yet to be determined.
Please fill this out for every sibling.
Email address *
Please select the sport for your player: *
Veteran, Sibling of Veteran, New Player *
Child's First Name *
Child's Last Name *
Address (House Number, Street) *
City *
Birthdate *
MM
/
DD
/
YYYY
Age as of September 1, 2021 *
2021-2022 School Grade *
2021 School Attending
Clear selection
Parent/Guardian 1: First and Last Name *
Parent/Guardian 1: Relationship to Athlete *
Parent/Guardian 1: Phone Number *
Parent/Guardian 1: Email *
Parent/Guardian 2: First and Last Name (If applicable)
Parent/Guardian 2: Relationship to Athlete
Clear selection
Parent/Guardian 2: Phone Number
Parent/Guardian 2: Email Address
Emergency Contact Name (Other than parent) *
Emergency Contact Relationship to Player *
Emergency Contact Phone Number *
Allergies / Medication *
Parent / Player Code of Conduct (Go to www.pytfreapers.org, then click on Forms/Docs) *
For Football Players Only: Please give your top 3 jersey numbers. Jersey Number Choice 1:
Jersey Number Choice 2:
Jersey Number Choice 3:
ASSUMPTION OF RISK & WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID 19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Plano Youth Tackle Football (PYTF) has created new protocols and put in place preventative measures to reduce the spread of COVID-19; however, PYTF cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending any program may increase your child(rens)s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to, or infected by COVID-19 by attending any PYTF event, and that such exposure or infection may result in personal injury, illness, permanent disability and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the PYTF events may result from the actions, omissions or negligence of myself and others, including, but not limited to, PYTF Board members, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including, but not limited to, personal injury, disability and death, illness, damage, loss, claim, liability or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the PYTF events. On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sure, discharge and hold harmless PYTF, its employees, agents and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions or negligence of PYTF, it’s Board members, agents, and representatives, whether a COVID-19 infection occurs before, during or after participation in any PYTF event. *
Waiver of Liability Signature (Typed first and last name) *
Coaches: Are you interested in coaching? If so, please select the level of football or cheer.
Clear selection
Coach First and Last Name
Coach Phone Number
Coach Email
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy