Alumni Game Registration

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Anthony Petruzzi
Dr. Bernard Bragen
Superintendent of Schools
Head Football Coach
apetruzzi@hazlet.org
Cell (908) 601-3792
Fax (732) 264-2825
Dear Raritan Football Alumnus,
First of all I would like to extend our gratitude for showing interest in our football program here at
Raritan High School. My name is Anthony Petruzzi and I am the Head Football Coach of the Rockets and
fellow Alumnus. We have a rich tradition spanning several decades of proud men who wore the gray and
green, and it is through your voice that we will be celebrating our FIRST ANNUAL RARITAN FOOTBALL
ALUMNI DAY on Saturday, September 20th at Raritan High School. We hope that this day will be a family
event filled with fond memories to share and of course, some competitive games of flag football. The event
will run from approximately 3pm to 7pm. Food and drinks will be sold at the snack bar and we hope to have
several activities for both parents and children. A minimum $25donation is required from each alumnus to
share in the festivities. Your donation will be used to pay for the costs of the day, a T-Shirt for the Alumni
which will also serve as a team uniform, but more importantly will be used to sponsor some of our current
players to attend FCA Leadership/Sport Camps in the summer, as well as an Alumni Scholarship for a
graduating senior. If you are not physically able to play, please come and spend the day with us and bring your
memories and some good stories to pass down through the generations.
In order to participate, please fill out our Liability Waiver and Information sheet by September 1st, with
a minimum of $25 check made out to “Rocket Launchers”. Checks and Waiver forms can be sent to:
RARITAN HIGH SCHOOL
ATTN: Anthony Petruzzi
419 Middle Road
Hazlet, NJ 07730
We urge you to forward this information to all of your teammates and use any source of social media to
pass the word. The tournament style and events of the day will be determined after we have an approximate
head count of attendees. There is no scheduled rain date for this event and your donation will not be refunded.
We hope that this day will reconnect you with the Raritan Football Program, your former teammates, and the
Hazlet Community. We hope to see you here at Joseph DiVirgilio Stadium.
If you are interested in being part of our Alumni Committee, please email me at apetruzzi@hazlet.org.
Respectfully,
Anthony Petruzzi
Raritan High School Football
Alumni Game Waiver and Consent Form
I, the undersigned, acknowledge, agree and understand that:
I understand that there are certain risks of injury inherent in the participation and play of this sport (football)
and Alumni Game of football, as well as in traveling and other related activities incidental to my participation,
and I am willing to assume these risks. I hereby certify that I am fully capable of participating in the designated
sport (football) and Alumni Game of football, that I am healthy and have no physical or mental disabilities or
infirmities that would restrict me from full participation in these activities and Alumni Game of football, except
as listed below.
In addition to giving my full consent to participate in this Alumni Game of football, I do hereby waive, release
and hold harmless the organization named below, it’s officers, coaches, sponsors, supervisors and
representatives for any injury that may be suffered by me in the normal course of participation in the designated
sport (football) and the activities incidental thereto, whether the result of negligence or any other cause.
Waiver, Release of Liability and Indemnification Agreement
DATE: September 20th, 2014
EVENT: Raritan High School
2014 Boys Football Alumni Game
I ACKNOWLEDGE THAT I HAVE READ AND THAT I UNDERSTAND EACH AND EVERY ONE OF THE PROVISIONS
IN THIS WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT AND AGREE TO ABIDE BY THEM.
_______________________________________
________________________________________
(PRINT) PLAYER NAME
CELL PHONE #
_______________________________________
HOME PHONE #
_________________________ _____
(PRINT) STREET ADDRESS
CITY
STATE
_________
ZIP
___________________________________________________________________________
(Print) Email Address
***Please list any physical limitations (allergies, hearing, sight, etc): _______________________________
_____________________________________________________
Date: ____________________
(SIGNATURE)
YEARS PLAYED VARSITY: ___________
YEAR OF GRADUATION: _____________ JERSEY # :____________
POSITION PLAYED: OFFENSE:_____________
DEFENSE:_________________ HEAD COACH:_____________________
PERSONAL/TEAM ACCOLADES: _____________________________________________________________________
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