FLAG FOOTBALL REGISTRATION FORM

Player Information

First name

Last name

Birthday

Age

School

Grade in Fall 2024

Parent/Guardian Information

FIrst Name

Last Name

Address

City

Zip Code

Best Contact #

2nd Best Contact #

Emergency Contact Name

Best Contact #

Please Initial Each Policy Below

Refund Policy

A non-refundable $30.00 fee will be assessed by Rush Line Athletics, LLC for any patron granted a refund. No refunds will be issued after the Friday before the first game of the season unless the program is canceled by Rush Line Athletics, LLC.

Parent Consent

By registering, you understand that you are giving your authorization to participate in Rush Line Athletics, LLC. You further agree to relieve Rush Line Athletics, LLC, it’s officers, agents, and employees from any liability for injury to you or your child(ren) resulting from and/or in connection with the activities in this program.

Photo Release

By participating in our program, patrons agree to allow Rush Line Athletics,LLC to use photographs, video tapes, and testimonials of participants for use in publicity materials free of any fee or usage charge.

Signature

Pay Registration

Registration Fee$75