RONDOUT VALLEY YOUTH FOOTBALL LEAGUE, Inc. PO PO Box ...
RONDOUT VALLEY YOUTH FOOTBALL LEAGUE, Inc. PO PO Box 795 Stone Ridge, NY 12484 www.rvyfl.assn.la 2016 Registration Form Player Name___________________________
Date of Birth______________________
Address _________________________________________________________________ Telephone #_________________ Cell# __________________ Weight____________ Age_____________ Grade in Fall 2016 ______________ Previous experience playing football?
______YES ______NO
Name of Team/ League_______________________ Dates__________________ Name of Parent/Guardian ___________________________________________ Parent/Guardian Email ______________________________________________ Occupation:_______________________________________________________
I______________________, do hereby grant permission for my child____________________, to participate in the Rondout Valley Youth Football League during the 2016 summer season, which begins August 2016. I hereby certify that my child is in good health and may participate in all activities during the RVYFL 2016 season. My child is insured by: _________________________ Group#_______________________ Physician: ____________________________________ Telephone: ___________________________________ Emergency Contact: _______________________ Relation:________________________ Phone: ______________________
Any Medical Conditions: ________________________________________________ Player Name__________________________________________________________ Player Signature_______________________________________________________ Parent Name__________________________________________________________ Parent Signature_______________________________________________________
Date of Birth______________________
Address _________________________________________________________________ Telephone #_________________ Cell# __________________ Weight____________ Age_____________ Grade in Fall 2016 ______________ Previous experience playing football?
______YES ______NO
Name of Team/ League_______________________ Dates__________________ Name of Parent/Guardian ___________________________________________ Parent/Guardian Email ______________________________________________ Occupation:_______________________________________________________
I______________________, do hereby grant permission for my child____________________, to participate in the Rondout Valley Youth Football League during the 2016 summer season, which begins August 2016. I hereby certify that my child is in good health and may participate in all activities during the RVYFL 2016 season. My child is insured by: _________________________ Group#_______________________ Physician: ____________________________________ Telephone: ___________________________________ Emergency Contact: _______________________ Relation:________________________ Phone: ______________________
Any Medical Conditions: ________________________________________________ Player Name__________________________________________________________ Player Signature_______________________________________________________ Parent Name__________________________________________________________ Parent Signature_______________________________________________________
