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Complete Registration Form

FTG Youth Football Registration 2023

FOOTBALL PLAYER INFORMATION

mm/dd/yyyy
If you do not have insurance on your player, type NONE in the box above.

PARENT 1 - INFORMATION

xxx-xxx-xxxx

PARENT 2 - INFORMATION

xxx-xxx-xxxx

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Waivers

INDIAN NATIONS YOUTH SPORTS - TERMS & CONDITIONS:

By checking the box below, I the registrant and/or legal guardian of the registrant am legally agreeing to all terms and conditions set forth by Indian Nations Youth Sports and the individual club and/or organization in which I am registering.

I am agreeing that I am at least 18 years of age and the legal guardian of the person/persons registering hereof. I further agree that any information provided in the following pages is truthful and accurate to the best of my knowledge.

I also state that any falsification of documents, illicit or immoral activities will be punished pursuant to the by-laws of the proper governing authorities, and that such activity will lead to penalties including: no reimbursement of funds and partial or permanent expulsion from the affiliation/organization I am applying for.

Right to Refuse Service

By accepting the terms of membership in the Indian Nations Youth Sports (INYS) programs I acknowledge that the INYS is a private organization and that it reserves the right to refuse membership and/or participation to any person whose actions hinder the activities of the INYS and that such determination will be at the sole discretion of Indian Nations Youth Sports.

Arbitration

IT IS AGREED THAT ANY MATTER IN DISPUTE BETWEEN YOU AND INDIAN NATIONS YOUTH SPORTS SHALL BE SUBJECT TO ARBITRATION AS AN ALTERNATIVE TO COURT ACTION PURSUANT TO THE RULES OF THE AMERICAN ARBITRATION ASSOCIATION, A COPY OF WHICH IS AVAILABLE ON REQUEST FROM THE COMPANY. ANY DECISION REACHED BY ARBITRATION SHALL BE BINDING UPON BOTH YOU AND THE COMPANY. THE ARBITRATION AWARD MAY INCLUDE ATTORNEY'S FEES IF ALLOWED BY STATE LAW AND MAY BE ENTERED AS A JUDGEMENT IN ANY COURT OF PROPER JURISDICTION.

Attorney's fees

The Parties agree that if Indian Nations Youth Sports prevails in any litigation or arbitration brought arising from any dispute, then INYS shall be entitled to recover all costs, expenses and attorney’s fees associated therewith.

PARTICIPATION AUTHORIZATION AND RELEASE OF LIABILITY:

For himself/herself and for his/her spouse and for his/her child and other children hereby represents and agrees to the following:
My child has my permission to participate in all sponsored or endorsed activities. The Association and its Board Members and Directors, Officers, Coaches, Coaching Staffs, agents and licensees are hereby released from any and all liability or responsibility for any injury that may occur to my child, to me, to my spouse and any of my other children resulting directly or indirectly from my child's participation in activities including, but not necessarily limited to, league tournaments, practice games, practices, transportation to and from games and tournaments or otherwise and the use of practice facilities, games facilities, concession facilities or any other facility.

AUTHORIZATION FOR EMERGENCY TREATMENT

In the event of a medical emergency, I hereby authorize my child to be transported to the nearest emergency room or medical facility. I also authorize officials to secure the use of an ambulance for transporting my child to the hospital and/or to administer first aid treatment as necessary. I further authorize any physician, surgeon or dentist of the nearest emergency medical center to administer any emergency treatment procedure or medicine necessary or advisable, when accompanied by an adult. I further agree to pay the hospital, doctors and ambulance fees for all services rendered to the above named child. I request that this authorization remain in force from this date until the end of the calendar year unless notified in writing of a change by me.

RULES AND REGULATIONS CONTRACT:

I have read the Rules and Regulations and Code of Ethics, of which I have a copy, as stated by the Board of Directors. I hereby agree to abide by said rules and regulations. I have also read and fully understand the penalties prescribed for violation or non-compliance of said rules and regulations and by checking the box do agree to these terms and conditions.

2023 Waiver and Photo Release

WAIVERS AND RELEASE
This Waiver and Release of Liability, and Photo and Electronic Media Release Waiver (collectively the “FTGYFC Waivers”) must be read, signed, and submitted to league officials prior to league participation. Note that your execution of the FTGYFC Waivers applies to your participation in any games and events organized or sponsored by the Fort Gibson Youth Football and Cheer League(the “FTGYFC”) during 2022.

Waiver and Release of Liability
I understand participating in games and events organized or sponsored by the FTGYFC (collectively, “FTGYFC Activities”) is a potentially dangerous or hazardous activity that includes risks, including, but not limited to, the possibility of physical harm or injury, permanent disability, death and damage to property. I hereby expressly and specifically assume all risks, including, but not limited to, the risk of physical harm or injury, permanent disability, death and damage to property, associated with my participation in FTGYFC Activities, including, but not limited to, falls, contact with other participants, weather conditions including rain, extreme heat, and sun exposure, the conditions of the field and event locations, etc., all such risks being known and understood by me. I understand that, except as otherwise agreed to by the FTGYFC in writing, the FTGYF does not carry or maintain health, medical or disability insurance coverage for any participants in FTGYFC Activities.

Having read this Waiver and Release of Liability (“WRL”), knowing, understanding and willing to assume the risks associated with my participation in FTGYFC Activities, and in consideration of being permitted to participate in FTGYFC Activities, I, for my heirs, executors, administrators, legal representatives, assigns and any other person entitled to act on my behalf, as well as myself, hereby waive, release, forever discharge, hold harmless and covenant not to sue the FTGYFC, its successors and assigns, its Board of Directors, officers, operators, employees, agents, other participants and any other representative of the FTGYFC (collectively, “Released Parties”) from any and all claims, demands, suits, judgments, damages, actions and liabilities, of every name and nature whatsoever, whenever occurring, whether known or unknown, contingent or fixed, at law or in equity, which arise or may hereafter arise from my participation in FTGYFC Activities. I understand and acknowledge that this WRL discharges the Released Parties from any liability or claim that I may have against the Released Parties with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation in FTGYFC Activities, whether or not caused by the negligence of the Released Parties. I understand that, except as otherwise agreed to by the FTGYFC, the FTGYFC does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance, in the event of injury or illness to myself caused in any part by my participation in FTGYFC Activities. Except as otherwise agreed to by the FTGYFC in writing, I hereby release and further discharge the Released Parties from any claim whatsoever that arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with my participation in FTGYFC Activities.

I expressly agree that that this FTGYFC is intended to be as broad and inclusive as permitted by the laws of the State of Oklahoma, as applicable, and that this FTGYFC shall be governed by and interpreted in accordance with the laws of the State of Oklahoma, as applicable. I agree that in the event that any clause or provision of this WRL shall be held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this WRL which shall continue to be enforceable.


Photo and Electronic Media Release Waiver
I hereby grant permission to the FTGYFC its successors, assigns, licensees, and legal representatives, the irrevocable right to use my name, picture, portrait or photograph on its World Wide Web site, in electronic media (e.g., video, CD-ROM, etc.) or in other printed publications or other forms of promotion without further consideration, and I acknowledge the FTGYFC’s right to crop or treat the photograph at its discretion, and waive my right to inspect or approve the finished product, including written copy, which may be created in connection therewith. I hereby grant and convey unto the FTGYFC all right, title and interest in any and all photographic images and video or audio recordings made by the FTGYFC during my participation in FTGYFC Activities, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings. I also acknowledge that the FTGYFC may choose not to use my photo at this time, but may do so at its own discretion at a later date.

I also understand that once my image is posted on the FTGYFC’s website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless from any claims the following: the FTGYFC, the photographer, their offices, employees, agents and designees, including league officers.

In witness whereof, I have executed this Conduct Statement, Waiver and Release of Liability, and Photo and Electronic Media Release Waiver on the date indicated below.

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