2024 ROCKLAND FLAG FOOTBALL LEAGUE
REGISTRATION FORM
CHILD’S NAME: _______________________________________________________________________
ADDRESS: ___________________________________________________________________________ HOME PHONE: _______________________________
CELL PHONE: ___________________________ FATHER’S NAME: _____________________________ MOTHER’S NAME: _______________________
PRIMARY EMAIL: ______________________________________________________________________ CHILD’S DOB: _____________ CURRENT GRADE: ________
SHIRT SIZE: Youth: SM MED LG XL or Adult: MED LG XL
HEALTH ISSUES/ALLERGIES/COMMENTS: _________________________________________________________________________________
WAIVER: The Town of Rockland, Rockland Flag Football League, Rockland Park Dept, the Board of Directors, Commissioners, the organizers, sponsors, volunteers, referees, and players assume no responsibility for injury to the child named above. All rights and claims are waived by the undersigned parent or guardian. The undersigned parent or guardian gives approval for the participation of their child in all activities of Rockland Flag Football League during the current season and assumes all the risks and hazards incidental to the conduct of the activities, the supervision, and the transportation to and from the activities as well as potential harm caused by Covid-19.
DISCLAIMER: The registration fee of $100.00 to play on a team is non-refundable. A fee of $25.00 will be assessed on any late sign-ups.
PARENT OR GUARDIAN’S SIGNATURE: ____________________________________ DATE: ___________