MOUNTAIN VALLEY YOUTH FOOTBALL PLAYER/PARENT CONTRACT TO BE COMPLETED, SIGNED AND SUBMITTED TO THE LOCATION ASSOCIATION SECTION 1 – GENERAL INFORMATION (PRINT OR TYPE) Child’s Full Name: _____________________________________________ Birthdate: _________________________ PLAYERS’ CODE OF CONDUCT I hereby pledge to be positive about my youth football/cheerleading experience and accept responsibility for my participation by following this Players’ Code of Conduct. 1. 2. 3. 4. 5. 6. 7. 8. 9. I will encourage good sportsmanship from fellow players, coaches, officials, and parents at every game and practice. I will attend every practice and game that I can, and will notify my coach if I cannot. I will expect to receive a fair amount of playing time. I will do my very best to listen and learn from my coaches. I will treat my coaches, other players, officials, and fans with respect regardless of race, creed, or ability. I deserve to play in an environment that is free from drugs, tobacco, and alcohol and expect adults to refrain from their use at all youth sports events. I will encourage my parents to be involved with my team in some capacity because it is important to me. I will do my very best in school. I will remember that a sport is an opportunity to learn and have fun. ROLE OF THE PARENT I hereby pledge to provide positive support, care and encouragement for my child participating in youth football/cheerleading by following The Role of the Parent. 1. 2. 3. 4. 5. 6. 7. I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every game, practice, or other youth sports event. I will place the emotional and physical well being of my child ahead of a personal desire to win. I will insist that my child play in a safe and healthy environment. I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all. I will demand a sports environment for my child that is free of drugs, tobacco, and alcohol, and will refrain from their use at all youth sports events. I will ask my child to treat other players, coaches, fans and officials with respect regardless of race, sex, creed, or ability. I promise to help my child enjoy the youth sports experience by doing whatever I can, such as being a respectful fan, providing transportation and helping in any way I can. SECTION 2 – FINANCIAL RESPONSIBILITY AND PARENTAL/PARTICIPANT CONSENT 1. I/We as parent (s)/Guardian (s) of the above named child, have read, understand and agree to abide by the “Role of the Parent” and assume complete financial responsibility for MY/OUR child to participate in this program. 2. My/Our above named child has read, understand and agrees to abide by the “Players’ Code of Conduct”. 3. I/We, the parents(2)/guardian(s) of the above named child, do hereby give my/our approval for participation in the Mountain Valley Youth Football activities for the current season. I/We hereby waive, release, absolve, indemnify and agree to hold harmless, MVYF, the league, local team, organizations, managers, coaches, supervisors, participants, person providing transportation and any organizations this youth football program may be affiliated with. 4. In executing the foregoing release, I/We acknowledge that I/We understand that our personal medical/dental insurance will remain the primary carrier, and that insurance offered through this program is secondary in nature and is subject to an annual deductible set by the carrier. 5. I/We understand that any claims for injury arising out of My/Our child’s participation must be reported to an association official within 30 days of injury. I/We understand the “Proof of Loss” must be completed in full and filed within 60 days of receipt by us. I/We understand all monies, I/We paid to the team does not constitute payment of insurance coverage. I/We do indemnify MVL, the league, the association, and the insurance carrier should there be statement(s) by “anyone” that is in contradiction. I/We certify I/We read and understand the terms of the “Contract” and any “Disclosure” information required. 6. I/We hereby grant authority to a qualified doctor of medicine, physician, or qualified medical person (E.M.T., RN, LVN) to administer such medical treatment as deemed necessary under emergency circumstances. _______________________________ Parent/Guardian Signature _____________________________ Parent/Guardian Signature ________________________ Player/Spiritleader Signature