Registration

Player's First Name*
Player's Last Name*
Primary Guardian First Name*
Primary Guardian Last Name*
Primary Home Address*
Primary Guardian's cell phone number*
Secondary Guardian First Name*
Secondary Guardian Last Name*
Secondary Home Address*
Secondary Guardian's cell phone number*
What grade level with your child be entering next year?*
- 5th grade
- 6th grade
- 7th grade
- 8th grade
Are you signing up for football or cheer?*
- Football
- Cheer
DISCLAIMER:
Waukesha South Youth Football is not responsible for any injury (or loss of property) to any person suffered while participating or in any other way involved in the 2021 Football Season for any reason whatsoever, including ordinary negligence on the part of, Waukesha South Youth Football, its agents or employees. In consideration of my participation, I hereby release and covenant not to sue Waukesha South Youth Football, their board or owner, and any of employee, instructor, or agent/assignee of any of the above three named agencies from any and all present and future claims resulting from ordinary negligence on the part of Waukesha South Youth Football, or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging in or receiving instruction while participating in the 2021 Football Season activities incidental thereto, wherever, whenever or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family estate, heirs, or assignees. Further, I understand that football is a vigorous team sport involving severe cardiovascular stress and physical contact. I understand that football involves certain risks, including but not limited to, death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage and serious injury to all bones, joints, muscles and internal organs. I further understand that football involves a high risk of knee and ankle in injuries. In addition, I understand that participation in the 2021 football season involves activities incidental thereto, including but not limited to, travel to and from the site of the activity, participation at sites that may be remote from available medical assistance and the possible reckless conduct of other participants. I am voluntarily participating in this activity with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, personal injury or death. I further agree to indemnify and hold harmless Waukesha South Youth Football and others listed for any and all claims arising as a result of my engaging in or participating in the "2021 Youth Football Season" activities incidental there to, wherever, whenever or however the same may occur.I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Wisconsin, and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceeding shall be in Wisconsin. I affirm that I am of legal age and am freely signing this agreement.
*
I have read this form and fully understand that by entering the name of ALL guardians above, I am giving up legal rights and/or remedies which may be available to me for ordinary negligence of Waukesha South Youth Football or any of the parties listed above.
*
In case of a medical emergency arises while participating in the programs, permission is given for staff personnel, including coaches or their designees to seek medical help. Permission is given to physicians to perform needed treatment. The department agrees to contact you as soon as possible, if the medical emergency involves your minor child. If we cannot contact you, we will contact the person below. Please provide Name, Cell Phone Number, and Relationship below.
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Please enter the Player's health insurance policy carrier, and their policy number below.
How much you want to pay?
How you want to pay?
Per payment
Price: $0.00
Total
$0.00
Email*