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Red Bluff Youth Football and CheerP.O. Box 8027Red Bluff CA, 960802018 Player ApplicationPlayer: D.O.B.Physical Address:Mailing Address:Mother/Legal Guardian: Ph.Father/Legal Guardian: Ph.Mother E-mail: Father E-mail:Player’s Physician:__ Physician Ph.Medications being used:Medical conditions:Allergies:Reg. Amt. _ Work Bond Deposit Fundraiser FORMCHECKBOX Checked out FORMCHECKBOX Paid Years Played Sponsor Yes/No If yes, name of sponsor RBYF will charge a $35.00 returned check fee for any returned check.Siblings in program:*Parent or Guardian Authorization*I/We, the authorized parent/guardians of the above named applicant for a position on a Red Bluff Youth Football and Cheer (RBYF) team, hereby give permission for the applicant to participate in any and all RBYF activities, including transportation to and from activities. I/We acknowledge that participation in full contact football or cheer may result in serious injury including death. I/We understand that protective equipment does not prevent all injuries to players, and so hereby waive, release, absolve, indemnify, and agree to hold harmless Red Bluff Youth Football and Cheer, NorCalFed, the organizers, sponsors, supervisors, participants, board members, coaches, trainers, emergency personnel and persons transporting my/our child to and from activities, from any claim arising out of an injury to said child, whether the result of negligence or for any other cause.Initial*Football Only*I/We agree to return all equipment signed out to my player at a date and time set by the RBYF Board of Directors or when asked for, whichever comes first. I/We agree to reimburse RBYF at full replacement value for any equipment not returned in as good condition as when issued, except for normal wear and tear. I/We do acknowledge that if the equipment issued is not returned and RBYF has not been properly reimbursed, the above applicant will not be allowed to return to the program.Initial*Football and Cheer*I/We have received/downloaded the 2017 RBYF "Parent Pack". I/We agree to thoroughly review the "Parent Pack" as it contains very important information about the RBYF program. The "Parent Pack" contains: the 2017 schedule; RBYF Rules; Facility Usage; Info. about water for my child; Practice Schedule; Playing Time; Game Times; Worker Bond Info.; Insurance; RBYF Refund Policy; and Football Equipment Replacement Costs.Initial*Media Release*I/We hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the participant named above by RBYF. I also grant to the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. I/We also hereby release NorCal Fed and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.InitialParent/Guardian Signature Date ................
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