flag football registration 2017

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PROUDLY PRESENTS

FEE: $25.00

DEADLINE: Aug. 25, 2017

FEE AFTER DEADLINE: (Subject to Availability) $35.00 -Games will be played on Saturdays, starting Sept. 16th — Oct. 14th. (All Dates are Subject to Change)

Practices will be up to coaches and should be scheduled through the KNRC. -KNRC is always looking for coaches so please sign up to help with your Childs team. -Please register at the KNRC office or drop boxes. Office and Drop Box Locations Include: -KNRC Kingman Office -KNRC Norwich Office 131 West A Avenue 241 East 2nd Kingman, KS Norwich, KS

2017 Flag Football Registration: Please mark the box next to the appropriate League 1st/2nd Grade Division

3rd/4th Grade Division

FLAG FOOTBALL REGISTRATION 2017 DEADLINE: Aug. 25, 2017

NAME: _________________________________ GRADE:(’17-’18)_________ GENDER: SHIRT SIZE: YS

YM

YL

AS

AM

AL

AXL

M

F

PARENTS: I WOULD LIKE TO : COACH:__________ (YES or NO)

WAIVER STATEMENT: The undersigned states that he/she understands that the Kingman-Norwich Recreation Commission (KNRC) is not and shall not be responsible for or liable for any illness, injury to person or damage to property resulting from the program in which the undersigned hereby forever releases and holds harmless the said (KNRC) from any and all claims of any kind that the undersigned or his/her heirs, executors, administrators or assigns may have or claim to have resulting in any way from his/her participation in said program. I have read and understand the waiver statement and give permission for participants named above to participate in the Kingman-Norwich Recreation Commission program stated above. Parent/Guardian’s Printed Name: __________________________Signature: __________________________ Address: _________________________________________Phone (H)________(C)________(W)_________ Email: ____________________________________Medical Info:___________________________________ Kingman-Norwich Recreation Commission reserves the right to take photos/videos of all programs and participants and use them for advertisement/promotion. If you have any concerns please contact the Director personally. EMAIL: [email protected]

Web: www.knrec.org

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