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2024 Coed NFL Flag Football Registration

 

2024 Coed NFL Flag Football Registration

Hickman Youth Sports

Hickman Parks & Recreation Department - P.O. Box 127, Hickman, NE 68372

www.hickman.ne.gov

 

Participant Name:  Date of Birth:  Age: 

 

Sex:  M  F  Current Grade in School  Special Request (Coach):   

 

Parent Name:  Phone Number: Cell () 

 

Address: City:  State:  Zip: 

 

Email Address:

 

   I am Interested in Coaching - Name:  Email: 

 

$85 Coed NFL Flag Football grades K-6th years for school year 2024-2025

(Includes NFL Reversible Team Jersey)

  T-Shirt Size: (check one) Youth Sizes:  S (6/8) M (10/12)  L (14/16) Adult Sizes: S M L XL

Please Select an Age Division:

Kindergarten to 1st grade Division

2nd  to 3rd Grade Division

4th to 6th Grade Division

  Check here if you DO NOT give permission for your minor child/ward(s) picture(s) to be on the City of Hickman Facebook, Website and/or Newsletter

Each participant will receive one OFFICIAL NFL reversible jersey and flags to keep.

A mouth guard is required for all participants and is not provided with registration.

DISCLAIMER: DUE TO NEW GRASS, NO CLEATS ARE PERMITTED FOR ALL AGE DIVISIONS.

 

REGISTRATION DEADLINE: July 31, 2024

Late Fee of $15.00 Will Apply to Registrations Received After July 31, 2024

NO REGISTRATIONS WILL BE ACCEPTED AFTER August 9, 2024, at 5:00pm

Financial Assistance Program May Be Available

 

NOTE TO PARENTS/GUARDIANS: Due to the complexity of team creation, equity, scheduling, uniforms, pictures, etc., player and/or team adjustments will not be made after late registration deadlines. Waiting lists are available after late registration has closed in the event of a last minute cancelation. spots on the waiting list are first come first serve and a spot on a team is not guaranteed.

 

Please note, the Youth Coed Soccer Season and Youth Coed NFL Flag Football Season overlap, and games could be held at the same time due to limited field availability. Games may be held on additional weekdays or over the weekend based on registration amounts. No games will be held on Wednesdays or Sunday Mornings.

 

 

  I have read the Parent/Athlete Concussion Information Sheet

WAIVER AND RELEASE OF LIABILITY

Please read this form carefully and be aware that in participating you will be waiving and releasing all claims for injuries that you or your minor child/ward might sustain arising out of this participation.

As a participant or parent/guardian of a participant, I recognize and acknowledge that there are certain risks of physical injury and agree to assume the full risk of any injuries, including death, damages or loss which I or my minor child/ward may sustain as a result of participating in any and all activities connected with or associated with this program.

I agree to waive and relinquish all claims I or my minor child/ward may have against the City of Hickman and its officials, officers, agents, servants and employees as a result of participating. I do hereby fully release and discharge the City of Hickman and its officials, officers, agents, servants, employees and volunteers from any and all claims from injuries, including death, damage or loss which I or my minor child/ward may have or which may incur or may accrue to me or my minor child/ward on account of my participation.

I further agree to indemnify and hold harmless and defend the City of Hickman and its officials, officers, agents, servants, employees and volunteers from any and all claims resulting from injuries, including death, damages and losses sustained by me or my minor child/ward and or arising out of connected with, or in any way associated with the activities of my participation.

In accordance with Nebraska Statute 71-9105 (2011), parents and coaches must review the provided items that address the following:

  1. The Signs and Symptoms of a Concussion;
  2. The Risks Posed by Sustaining a Concussion; and,
  3. The Actions an athlete should take in response to sustaining a concussion, including the notification of his or her coaches. (More information is available at https://www.cdc.gov/headsup/youthsports/index.html)

 

By signing this form I acknowledge that I have read and fully understand the above warning of Risk and Waiver and Release of All Claims and have received information in accordance with Nebraska Statute 71-9105 regarding concussions.

 

Parent/Guardian Signature (Required)        Date 

 

 

 

 

 

 

 

 

 

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