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    Flag Football Registration Form

    Uploaded by

    Dan Wetzel
    The document provides information about the 2017 Fox Chapel Flag Football Program for 1st-6th graders. The program will take place on Sundays from September 10th to October 8th at Fox Chapel High School's football field. JV and varsity football players will serve as coaches and referees. The $50 fee includes a t-shirt, 30 minutes of training each week, and two 30-minute games. Parents must sign a waiver and provide emergency contact and medical information for their child to participate. Registration is due by September 8th.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Flag Football Registration Form

    Uploaded by

    Dan Wetzel
    40 views1 page
    The document provides information about the 2017 Fox Chapel Flag Football Program for 1st-6th graders. The program will take place on Sundays from September 10th to October 8th at Fox Chapel High School's football field. JV and varsity football players will serve as coaches and referees. The $50 fee includes a t-shirt, 30 minutes of training each week, and two 30-minute games. Parents must sign a waiver and provide emergency contact and medical information for their child to participate. Registration is due by September 8th.

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    The document provides information about the 2017 Fox Chapel Flag Football Program for 1st-6th graders. The program will take place on Sundays from September 10th to October 8th at Fox Chapel High School's football field. JV and varsity football players will serve as coaches and referees. The $50 fee includes a t-shirt, 30 minutes of training each week, and two 30-minute games. Parents must sign a waiver and provide emergency contact and medical information for their child to participate. Registration is due by September 8th.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    40 views1 page

    Flag Football Registration Form

    Uploaded by

    Dan Wetzel
    The document provides information about the 2017 Fox Chapel Flag Football Program for 1st-6th graders. The program will take place on Sundays from September 10th to October 8th at Fox Chapel High School's football field. JV and varsity football players will serve as coaches and referees. The $50 fee includes a t-shirt, 30 minutes of training each week, and two 30-minute games. Parents must sign a waiver and provide emergency contact and medical information for their child to participate. Registration is due by September 8th.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    2017

    FOX CHAPEL FLAG FOOTBALL PROGRAM


    WITH HIGH SCHOOL FOOTBALL PLAYERS & COACHES

    Program Information

    Coaches and Referees are JV and Varsity Football players.

    When: Sunday, September 10 – 11:00 AM – 1:00 PM
    Sunday, September 17 – 8:00 AM – 10:00 AM
    Sunday, September 24 – 11:00 AM – 1:00 PM
    Sunday, October 1 – 11:00 AM – 1:00 PM
    Sunday, October 8 – 11:00 AM – 1:00 PM

    Location: Fox Chapel High School Football Field

    Who: 1st– 6th Graders interested in playing football

    Program Price: $50/player Please make checks payable to FC Quarterback
    *t-shirt Club and mail to:
    *30 min training session each week 562 Dorseyville Road Pittsburgh, PA 15238
    *2 – 30 minute games each week
    *mouth guard (must be worn to participate) Direct questions to– susnak@comcast.net

    Sunday, September 10 is Opening Day Registration Deadline: Friday, September 8
    *t-shirt distribution *skills training stations
    *meet your coach

    2017 Fox Chapel Flag Football Program Sign- Up Form



    Player Name:____________________________________ Phone: ____________________________

    School: ___________________________________________ Grade:___________________________________

    Parent/Guardian Emal: ___________________________________________________________________

    Player t-shirt size (circle one): YM YL YXL AS

    I/We hereby grant permission for my/our child, _______________________________________, to participate in the Flag Football
    Program being organized by Quarterback Club.
    It is understood that my/our child’s participation in this event is voluntary. It is expressly agreed that this activity/event shall be undertaken at
    his/her own risk and that the Quarterback Club and/or the Fox Chapel Area School District and its Board of School Directors, officers,
    employees, agents, and assigns (hereafter referred to as the School District) shall not be liable for any injuries sustained during this
    activity/event, or be subject to any claim, demand, injury or damages whatsoever, including, without any limitation, those damages resulting
    from acts of active or passive negligence on the part of the School District its successors or assigns, as well as its directors and agents, for all
    such claims, demands, injuries, damages, actions or causes of actions.
    Intending to be legally bound, on my/our behalf and that of my/our child, hereby absolve, release and discharge the School District, its
    successors or assigns, directors, officers, employees and agents, and any individual directly or indirectly involved from any liability for injury,
    illness, accident or any other claims relating to my/our child’s participation in or as a result of this activity/event.
    I/We, the undersigned further represent that my/our child (above named) is adequately covered by a personal or family medical plan which
    includes payment of hospitalization, medical expenses and other related expenses which may arise from my/our child’s participation in this
    activity/event and that, upon request, I/we shall present proof of coverage to the appropriate administrators of Fox Chapel Area School
    District
    I/We further authorize medical treatment, and the release of information necessary for medical treatment for my child in the event of illness or
    injury sustained while participating in this activity/event.

    Parent/Guardian Signature: __________________________ Date _______________


    __________________________ Date _______________

    Emergency Contacts: _________________________ Telephone _________________


    ________________________ Telephone _________________

    Allergies/Medical Conditions:
    ______________________________________________________________________________
    ______________________________________________________________________________

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