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Complete Registration Form

2025 BAYFA Trench Club

Current Grade Level

Player First Name

Player Last Name

Age

Address

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PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Email

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

Waivers

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.

I agree

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GRANT OF PUBLICITY RIGHTS

The parent/guardian for the participant grants Indian Nations Youth Sports, Broken Arrow Youth Football and those associated thereof the right, but does not otherwise impose the obligation, to photograph, videotape and/or otherwise use the parent/guardian and/or his or her participating child’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising and promotional materials, free of charge without reservation or limitation.

I agree

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Participation Waiver

I hereby give my informed consent for the child mentioned herein to participate in the Broken Arrow Youth Football Association skills camp. I understand the risks of injury in athletic participation. If my child is injured, a physician, coach or trainer may institute necessary medical care. It is further agreed that BAYFA and the coaching staff will be relieved of all responsibility in the event of injury.

I agree

Please enter your initials to approve this waiver

Complete Registration Form

2025 BAYFA Trench Club

PARENT/GUARDIAN INFORMATION

Waivers

AUTHORIZATION FOR EMERGENCY TREATMENT

GRANT OF PUBLICITY RIGHTS

Participation Waiver

Make Payment