MONROECATHOLICYOUTHLEAGUE

2014FLAGFOOTBALL
Boys&Girls1st 4th Grade

REGISTRATIONANDWAIVERFORM

SaintSebastian
PatronSaintofAthletes
Prayforus!

PleasePrintParticipantInformation:
Name:______________________________________________________
HomeAddress:_______________________________________________
Parish:____________________________________Circle:MorF
DateofBirth:___________Age_________Grade:______________
CircleShirtSize:Youth

SMLXL

ParentorLegalGuardianName:__________________________________

$20.00
ParticipantFee.
Dropofflocations
listedonreverse
side.
CashorCheck.
Checksmade
payableto:
MonroeCatholic
YouthLeagueLLC

EmailAddress:___________________________Phone:_____________
CoachingInformation
Ifyouwanttobeconsideredasavolunteercoach,pleaseprovideinformationbelow.Allcoachesmusthave
completedtheProtectingGodsChildrenCourseandallwillneedabackgroundcheck.Coacheswillneedtocomplete
theonlineConcussionAwarenessCoursebeforethestartoftheseason.Coachingpositionsarenotguaranteedandwill
bechosenonafirstcomebasis.Pleasecheckifyouprefertobeaheadcoachoranassistant.Ashirtwillbeprovided
toallcoaches.Allcoacheswillneedtoweartheshirtongameday.Onlycoacheswiththeprovidedshirtswillbe
allowedonthefield.

Name:_________________________________Parish:____________________________
EmailAddress:___________________________Phone:____________________________
Circle

HeadCoachorAssistantCoach

CircleShirtSize:Mens

SMLXL2X3X
Waiver

Bysigningbelowyouhaveread,understoodandagreedtothewaiveronpage2.

Signature:
SignatureofParentorLegalGuardian:_____________________________________________________________
PrintNameofSignee:_____________________________________________Date:________________________

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Waiver
IrecognizethattheMonroeCatholicYouthLeague(MCYL)doesnotcarrymedicalaccident
insuranceforinjuriessustainedinthegames.Eachpersonregisteringhimorherselfforthisleague
shouldreviewtheirownhealthinsurancepolicyforcoverage.Theabsenceofhealthinsurance
coveragedoesnotmaketheMCYLresponsibleforthepaymentofmedicalexpenses.
Ifurtherunderstandthatsportsinvolvephysicalcontactbetweenplayers,thatseriousaccidents
occasionallyoccurduringsuchsportingactivities,andthatparticipantsinsuchsportingactivities
occasionallysustainseriouspersonalinjuries(includingdeath)and/orpropertydamage,asa
consequencethereof.Knowingtherisksofparticipation,nevertheless,Iherebyagreethatmy
minorchildandIassumethoserisks.Iknowinglyandfreelyassumeallsuchrisks,bothknownand
unknown,evenifarisingfromthenegligenceofothers,andassumefullresponsibilityformychilds
participation.ThisreleaseisintendedtodischargeinadvancetheMCYL anyandallliability
connectedinanywaymyminorchildsparticipationisthissportingactivity.
Ihavereadthisreleaseofliabilityandassumptionofriskagreement,fullyunderstanditterms,
understandthatIhavegivenupsubstantialrightsbysigningit,andsignitfreelyandvoluntarily
withoutanyinducement.

RegistrationDropOffLocations
DeadlineAugust9th,2014
FinishersUnlimited
757S.TelegraphRd.,Monroe,Michigan,48161
FromJuly21th Aug9th
Duringbusinesshours:9am 5pmMF,9am1pmSat

StMaryMonroe
August2nd &3rd
Afterallmasses:4:30Sat
7:30am,9:30amand11:30amSunday

Orsendcheckbymail:(mustreceivebyAug9th)
MCYLc/oTimSmith
11147N.DixieHwy
SouthRockwood,Mi.,48179
Anyquestions,pleaseemail:flagfootball.timsmith@gmail.com

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