Brooklyn Extreme Flag Football, Inc.
Registration Form
Player Information
First Name:
_________________
Last Name:
Home Number:
Cell Number:
Street Address:
City:
State:
Zip Code:
School Name:
Grade:
Date of Birth:
Age:
Pants Size:
YS
YM
YL
AS
AM
AL
AXL
AXXL
AXXXL
(Circle One)
Shirt Size:
YS
YM
YL
AS
AM
AL
AXL
AXXL
AXXXL
(Circle One)
Parent / Guardian Information
First Name:
Last Name:
Street Address:
City:
Home Number:
State:
Zip Code:
Cell Number:
Email Address:
Emergency Contact Information ( In event Parent(s) / Guardian(s) Cannot Be Reached )
First Name:
Home Number:
Last Name:
Cell Number:
Parent / Legal Guardian Signature__________________________________________
CODE OF CONDUCT
PLAYER’S FULL NAME_______________________________________ AGE_____________ BIRTHDATE_____________________
This form must be completed and turned in prior to the first day of practice.
THE ROLE & RESPONSIBILITY OF THE PARENT
The support of the parent(s) is essential to the success of any youth program. This support should be in such activities as fund raising, promotions,
equipment maintenance, team sponsorship, and other volunteer activities.
1. Remember, a positive mental attitude, free from parental pressures, is an important ingredient for the success of any youngster participating in the
program.
2. Refrain from open criticisms, especially in the presence of your child(ren), of the program, coaches, or any personnel connected with the
organization.
3. Encourage your youngster to attend all practice sessions. His/her absence not only impedes their progress but hurts their team as well. Missing a
practice is a prime cause for not playing in a game and can lead to suspension from the team for repeated occurrences.
4. Parents should never be on the practice field nor interrupt a coach during a practice session. Any questions and/or concerns should be addressed
with coaching staff prior to bringing an issue to the BXFF board members.
5. Youth football is a different dimension than professional ball. Cheer hard and loud for your team at the games, but remember to keep your fan
support in the proper perspective and in good taste.
6. Unsportsmanlike conduct in the stands during games is prohibited. Derogatory statements towards game officials, fans or the opposing team are
prohibited and may result in the forfeiture of a game. ALCOHOL at games in PROHIBITED.
7. Parents are not allowed on the sidelines or playing field. All spectators belong in the stands or behind the ropes. Only players, coaches, and
appointed league officials may be on the sidelines.
8. Parents should clearly understand that the aim of BXFF is to teach their youngster teamwork, good sportsmanship, fair play, and a love for the
wonderful game of football.
9. Parents must assume complete financial responsibility for their child to participate in this program.
10. We are not a babysitting service. We cannot be held responsible for the health and welfare of unattended children. Parents are responsible in
picking up their child(ren) in a timely manner from practice and/or game sites.
PLAYER’S CODE OF CONDUCT
Being a member of the team means much more than just learning about and playing football. As a player, both on and off the field, you are a
representative of your team, and expected to act accordingly. No matter what the circumstances, whether it is in victory or defeat, always conduct
yourself with pride and poise.
1. Good school grades are a must! Parents that report a drop in the player’s school grades may request a coach to “bench” a player until grades are
brought up to a satisfactory level.
2. Good citizenship is a must! Any player, who has behavioral issues with the law enforcement and/or league officials, SHALL be subject to
suspension from the team.
3. You must notify your coach if you are going to miss a practice.
4. There is no excuse for being late to practice.
5. Vulgarity, temper tantrums, or fighting is absolutely prohibited.
6. During instructional periods you will only speak when spoken to or with permission.
7. You must wear a mouthpiece to all games and practices.
8. Socks, pants and jerseys should be washed on a regular basis to prevent disease. It is the responsibility of you and your parents to keep your
uniform and football shoes clean.
9. When addressing or replying to any coach, you will call him/her “coach”. Game officials should be addressed as “sir.”
10. Missing or cutting a practice will not only hurt you but your team as well, and you can be “benched” at the discretion of your coach.
11. A player may be benched or not allowed to participate in a game or portions of a game for violation of Player’s Code of Conduct.
I/We have read and understood and promise to follow the Players’ Code of Conduct.
___________________________________, Player Signature
Dated:_________________
___________________________________, Parent/Guardian Signature
Dated:________________
___________________________________, Parent/Guardian Signature
Dated:__________________
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Brooklyn Extreme Flag Football, Inc.
Release and Waiver of Liability
In consideration of being allowed to participate in any way in the Brooklyn Extreme
Flag Football, Inc. activities and related events, the undersigned:
Agree that prior to participating, they will inspect the playing facilities and
equipment to be used, and if they believe anything is UNSAFE, they will
immediately advise their coach or supervisor of such condition(s) and REFUSE
TO PARTICIPATE.
Agree that the parent(s) or legal guardian(s) will instruct the minor participant
that prior to participating, they should inspect the facilities and equipment to be
used, and if the participant believes anything is UNSAFE, they should
immediately advise their coach or supervisor of such conditions and REFUSE
TO PARTICIPATE.
Acknowledge and fully understand that each participant will be engaging in
activities that involve risk of serious injury including permanent disability and
death, and severe social and economic losses which might result not only from
their actions, inactions or negligence, but the actions, inactions or negligence of
others, the rules of play, or the condition of the premises or of any equipment
used. Further, that there may be other risks not known or not reasonably
foreseeable at this time.
Acknowledge that it is the participant’s responsibility to be properly insured
and/or pay all medical costs in the event of an injury and to be knowledgeable of
where to contact assistance in the case of an emergency.
Assume all foregoing risks and accept personal responsibility for the damages
following such injury, permanent disability or death.
Release, waive, discharge and covenant not to sue the Brooklyn Extreme Flag
Football, Inc., their affiliated teams, their respective administrators, officers,
directors, agents, coaches and other employees or volunteers of the
organizations, mentioned above, other participants, sponsoring agencies,
corporate sponsors, advertisers, and, if applicable, owners and leasers of the
premises used to conduct the event, all of which are hereinafter referred to as
“releases”, from demands, losses, or damages on account of injury, including
death or damage to property, caused or alleged to be caused in whole or in part
by the negligence of the releasee or otherwise.
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In the event that injury or illness while competing in any Brooklyn Extreme
Flag Football, Inc. event, I hereby authorize any emergency first aid,
medication, medical treatment or surgery necessary by licensed medical
personnel. I also give my permission for attending medical personnel to execute
on my behalf if I am not immediately available to do so. This includes the cost
for transportation to an emergency facility and/or hospital.
I hereby consent to allow my picture and/or voice or likeness in any official
documentary, promotional, exclusive television, radio or film coverage of any
Brooklyn Extreme Flag Football, Inc. event in any manner incidental to my
participation in this or any Brooklyn Extreme Flag Football, Inc. event without
compensation to me.
THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE,
UNDERSTANDS THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT, AND SIGN IT VOLUNTARILY.
(Each participant and a parent/legal guardian of minor participants must sign a release
and waiver of liability form to participate)
_________________________________
Printed Name of Participant
__________
Birth Date
_________________________________
Participant Signature
__________
Date
_________________________________
Printed Name of Parent/Legal Guardian
_________________________________
Parent/Guardian’s Signature
__________
Date
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