2017 FALL SEASON FOOTBALL and CHEER - League Athletics
Join Black Hills Youth Football and Cheer League TODAY
2017 FALL SEASON FOOTBALL and CHEER Football Players Only $195 Cheerleaders $65 Open to all kids Grades 1st thru 7th for football players and cheerleaders There are Associations in many of the towns in the Black Hills including: Rapid City (3 Associations), Box Elder, Wall, Custer, Hot Springs, Sturgis, Spearfish, Belle Fourche, and Lead/Deadwood. See our website at www.BHYFL.leag1.com for more information.
Please mail all registrations to: BHYFL PO Box 999 Box Elder, SD 57719 605-791-3381
Required Documents COPIES ONLY (DO NOT MAIL -give to team mom)
Received Date Stamp
Tackle football
Cheer
____Birth Certificate ____Wallet-sized photo ____Participant Code of Conduct ____Parent Code of Conduct ____Medical Clearance from 2017 ____ A 2016 Report card
2017 BHYFL Registration Mighty Mite (1/2nd grade)
Jr Pee (3/4th grade )
Pee Wee (5/6th grade)
Senior Pee Wee (7h grade)
Football Player Registration $195
Cheer Registration $65
APPROXIMATE WEIGHT AT REGISTRATION (Football)
Amt Paid __________ Check # ___________ (All returned checks are assessed a $35.00 fee) All registrants must be paid in full at registration. *Medical clearance must be submitted before practice begins or THE PARTICIPANT CANNOT PRACTICE FOOTBALL OR CHEER. Student Athlete’s (Name must match birth certificate exactly) LAST NAME 2016 Division/Team:
Is Parent a coach or team mom?
FIRST NAME
MIDDLE NAME
Current School Attending:
PHYSICAL ADDRESS HOME PHONE (
CITY )
MIDDLE SCHOOL DISTRICT:
*School Grade as of fall - 2017
REFERRING PERSON:
FATHER/GUARDIAN
Primary
MOTHER/GUARDIAN
NAME
NAME
ADDRESS (if different)
ADDRESS (if different)
CITY, ZIP
CITY, ZIP
PHONE ( )
PHONE ( )
BUS PH ( )
*AGE AS OF 1/01/17
BIRTH DATE
ZIP
CELL ( )
E-MAIL (mandatory) PLEASE PRINT VERY CLEARLY
BUS PH ( )
Primary
CELL ( )
E-MAIL (mandatory) PLEASE PRINT VERY CLEARLY
PARENTAL CONSENT: PLEASE READ AND SIGN: APPLICATION MUST HAVE AT LEAST ONE PARENT/GUARDIAN SIGNATURE I/WE, the Parents/Guardians of the above named candidate for a position on any of the BHYFL Youth Football/Cheer teams, hereby give MY/OUR approval to his/her participation in any and all BHYFL Youth Football/Cheer activities during the current year. I/WE assume all risks and hazards incidental to such participation including transportation to and from such activities, and I/WE do hereby waive release, absolve, indemnify and agree to hold harmless the BHYFL Youth Football League and its Associations, the sponsors, supervisors, participants, employees, volunteers and persons transporting MY/OUR child to and from activities for any claim arising out of injury to MY/OUR child. I/WE and participant agree to abide by the BHYFL Rules of Conduct. I/We give the BHYFL President/Commissioner or his/her designee permission to verify our child’s age if needed by the use of our child’s school records. The BHYFL reserves the right to refuse to accept ANYONE or to remove ANYONE from the program at any time as the BHYFL sees fit so as to preserve the safety, integrity and character of the BHYFL and its’ participants. Everybody involved with the BHYFL in any capacity must obey the Codes of Conduct as set forth by the BHYFL whether they have received and or signed said code of conduct or not. (it is posted on our website) PARENTAL MEDICAL TREATMENT AUTHORIZATION: In the event of injury to MY/OUR child, I/WE hereby grant authority to present or qualified personnel to render such medical treatment as said personnel deems necessary under the circumstances. PARENT/PARTICIPANT RULES OF CONDUCT: I/WE and MY/OUR child agree to abide by the Rules of Conduct and understand the possible consequences of violating the Rules of Conduct. It IS possible my child may NOT be able to play this season, due to lack of registration in his/her age division. In that case All paid monies will be refunded if approved. ANY Approved refunds will be refunded at the end of the current season. Code of conducts can be found at www.BHYFL.leag1.com
EQUIPMENT LIABILITY: Parent/Guardians are responsible for return of all equipment and uniforms, clean and in good condition. You, the Parent/Guardian will be responsible for reimbursement to the league for any cost of lost or excessively damaged equipment or uniforms. *Failure to return all issued equipment could result in criminal prosecution for Failure to Return Rental property. WEB SITE PICTURES: I/WE give permission to have my child’s picture on the BHYFL web site, any association ID card, film, or advertisement literature.
Note: If you have any questions, please contact us at 605-791-3381 OR [email protected] I/WE have read the above and agree with and understand the policies set forth above.
ALL REGISTRATION FEES ARE NON-REFUNDABLE X _________________________________________________________________ X__________________________________________________________________ (Father/Legal Guardian Signature) (Date) (Mother/Legal Guardian Signature) (Date)
FOR LEAGUE USE ONLY Division: ________________________________ Team:__________________________________________
2017 FALL SEASON FOOTBALL and CHEER Football Players Only $195 Cheerleaders $65 Open to all kids Grades 1st thru 7th for football players and cheerleaders There are Associations in many of the towns in the Black Hills including: Rapid City (3 Associations), Box Elder, Wall, Custer, Hot Springs, Sturgis, Spearfish, Belle Fourche, and Lead/Deadwood. See our website at www.BHYFL.leag1.com for more information.
Please mail all registrations to: BHYFL PO Box 999 Box Elder, SD 57719 605-791-3381
Required Documents COPIES ONLY (DO NOT MAIL -give to team mom)
Received Date Stamp
Tackle football
Cheer
____Birth Certificate ____Wallet-sized photo ____Participant Code of Conduct ____Parent Code of Conduct ____Medical Clearance from 2017 ____ A 2016 Report card
2017 BHYFL Registration Mighty Mite (1/2nd grade)
Jr Pee (3/4th grade )
Pee Wee (5/6th grade)
Senior Pee Wee (7h grade)
Football Player Registration $195
Cheer Registration $65
APPROXIMATE WEIGHT AT REGISTRATION (Football)
Amt Paid __________ Check # ___________ (All returned checks are assessed a $35.00 fee) All registrants must be paid in full at registration. *Medical clearance must be submitted before practice begins or THE PARTICIPANT CANNOT PRACTICE FOOTBALL OR CHEER. Student Athlete’s (Name must match birth certificate exactly) LAST NAME 2016 Division/Team:
Is Parent a coach or team mom?
FIRST NAME
MIDDLE NAME
Current School Attending:
PHYSICAL ADDRESS HOME PHONE (
CITY )
MIDDLE SCHOOL DISTRICT:
*School Grade as of fall - 2017
REFERRING PERSON:
FATHER/GUARDIAN
Primary
MOTHER/GUARDIAN
NAME
NAME
ADDRESS (if different)
ADDRESS (if different)
CITY, ZIP
CITY, ZIP
PHONE ( )
PHONE ( )
BUS PH ( )
*AGE AS OF 1/01/17
BIRTH DATE
ZIP
CELL ( )
E-MAIL (mandatory) PLEASE PRINT VERY CLEARLY
BUS PH ( )
Primary
CELL ( )
E-MAIL (mandatory) PLEASE PRINT VERY CLEARLY
PARENTAL CONSENT: PLEASE READ AND SIGN: APPLICATION MUST HAVE AT LEAST ONE PARENT/GUARDIAN SIGNATURE I/WE, the Parents/Guardians of the above named candidate for a position on any of the BHYFL Youth Football/Cheer teams, hereby give MY/OUR approval to his/her participation in any and all BHYFL Youth Football/Cheer activities during the current year. I/WE assume all risks and hazards incidental to such participation including transportation to and from such activities, and I/WE do hereby waive release, absolve, indemnify and agree to hold harmless the BHYFL Youth Football League and its Associations, the sponsors, supervisors, participants, employees, volunteers and persons transporting MY/OUR child to and from activities for any claim arising out of injury to MY/OUR child. I/WE and participant agree to abide by the BHYFL Rules of Conduct. I/We give the BHYFL President/Commissioner or his/her designee permission to verify our child’s age if needed by the use of our child’s school records. The BHYFL reserves the right to refuse to accept ANYONE or to remove ANYONE from the program at any time as the BHYFL sees fit so as to preserve the safety, integrity and character of the BHYFL and its’ participants. Everybody involved with the BHYFL in any capacity must obey the Codes of Conduct as set forth by the BHYFL whether they have received and or signed said code of conduct or not. (it is posted on our website) PARENTAL MEDICAL TREATMENT AUTHORIZATION: In the event of injury to MY/OUR child, I/WE hereby grant authority to present or qualified personnel to render such medical treatment as said personnel deems necessary under the circumstances. PARENT/PARTICIPANT RULES OF CONDUCT: I/WE and MY/OUR child agree to abide by the Rules of Conduct and understand the possible consequences of violating the Rules of Conduct. It IS possible my child may NOT be able to play this season, due to lack of registration in his/her age division. In that case All paid monies will be refunded if approved. ANY Approved refunds will be refunded at the end of the current season. Code of conducts can be found at www.BHYFL.leag1.com
EQUIPMENT LIABILITY: Parent/Guardians are responsible for return of all equipment and uniforms, clean and in good condition. You, the Parent/Guardian will be responsible for reimbursement to the league for any cost of lost or excessively damaged equipment or uniforms. *Failure to return all issued equipment could result in criminal prosecution for Failure to Return Rental property. WEB SITE PICTURES: I/WE give permission to have my child’s picture on the BHYFL web site, any association ID card, film, or advertisement literature.
Note: If you have any questions, please contact us at 605-791-3381 OR [email protected] I/WE have read the above and agree with and understand the policies set forth above.
ALL REGISTRATION FEES ARE NON-REFUNDABLE X _________________________________________________________________ X__________________________________________________________________ (Father/Legal Guardian Signature) (Date) (Mother/Legal Guardian Signature) (Date)
FOR LEAGUE USE ONLY Division: ________________________________ Team:__________________________________________
