Register - Sedalia Youth Football League

SYFL 2024 Registration Form

RM_Stats

Player Last Name^*

Player First Name^*

Player Birthdate^*

Player Grade^*

Parent/Guardian First Name^*

Parent/Guardian Last Name^*

Parent/Guardian Phone^*

Parent/Guardian Email^*

Secondary Contact

Secondary Contact Phone

Emergency Contact

Emergency Contact Phone

Jersey Size

Preferred Jersey Number

Please choose 3 numbers your child would like for their jersey. In the event the first one is not available we will move on the the 2nd & 3rd choices.

Pant Size^*

Permission to use your child's image?^*

We/I grant permission for my child to participate and appear in video or audio recording, films, photographs, written articles, or on website and social media sites.

Does your child have medical insurance?^*

For the safety of all participants in the youth football program, we require that your child have medical insurance coverage. This ensures access to proper medical care in case of injuries or accidents. If your child doesn't have insurance, we can NOT accept them into the program.

Are you interested in being a coach/asst. coach?

Are you interested in serving on the board?

Flag (K - 2nd Grade) or Tackle (3rd - 6th Grades)^*

A COPY OF THE BIRTH CERTIFICATE & GRADE CARD MUST BE TURNED IN TO YOUR COACH DURING THE 1ST WEEK OF PRACTICE.

We/I hereby request that you accept the application enrollment of my child named above in the SYFL program. In consideration of your acceptance of the application, we/I hereby release the League Board from all claims regarding injuries that may be sustained by our/my child of any such injury. We/I understand that any participant who does not abide by the league rules may be dismissed with no refund. In the event of illness/injury, we/I hereby give our/my consent for medical treatment and permission to the attending physician to hospitalize, secure proper treatment, and order injection, anesthesia, or surgery. We/I will be responsible for any medical and/or any other charges regarding my child’s participation in the SYFL. We/I certify that my/our child is covered by medical insurance and certify that my/our child is physically capable of participating in the SYFL. I fully understand that I am responsible for all equipment issued to my child and CAN BE HELD MONETARILY RESPONSIBLE FOR ITS REPLACEMENT.

Parent/Guardian Full Name^*

By entering my name here, I acknowledge and consent that this electronic form of signature holds the same legal validity and impact as a physical signature.

Date^*

Select a payment method^*

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SYFL 2024 Registration Form

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