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Registration Wizard
Complete Registration Form
2025 KLL Football
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Postal Code
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Age
Birthday
mm/dd/yyyy
School Attending in Fall
What Coach did you Play for Last Year?
Insurance Provider
If you do not have insurance on your player, type NONE in the box above.
Special Requests/ Comments
PARENT 1 - INFORMATION
Parent 1 - First Name
Parent 1 - Last Name
Parent 1 - Email
Parent 1 - Cell Phone
xxx-xxx-xxxx
Parent 1 - Cell Phone Provider
- none -
Aliant
Alltel
Ameritech
ATT Wireless
Bell Mobility
Bellsouth
Boost
CellularOne
CellularOne MMS
Cingular
Edge Wireless
Fido
Land Line
Metro PCS
MTS Mobility
Nextel
O2
Orange
President's Choice
Qwest
Rogers Wireless
Sasktel Mobility
Sprint PCS
T-Mobile
Teleflip
Telus
Telus Mobility
US Cellular
Verizon
Virgin Mobile
This information is used for text messaging capabilities.
Parent 1 - Work Phone
xxx-xxx-xxxx
Parent 1 - Would you like to volunteer?
None
Head Coach
Asst. Coach
Team Manager
Board Member
Other
PARENT 2 - INFORMATION
Parent 2 - First Name
Parent 2 - Last Name
Parent 2 - Email
Parent/Guardian 2 Cell Phone
xxx-xxx-xxxx
Parent 2 - Cell Phone Provider
- none -
Aliant
Alltel
Ameritech
ATT Wireless
Bell Mobility
Bellsouth
Boost
CellularOne
CellularOne MMS
Cingular
Edge Wireless
Fido
Land Line
Metro PCS
MTS Mobility
Nextel
O2
Orange
President's Choice
Qwest
Rogers Wireless
Sasktel Mobility
Sprint PCS
T-Mobile
Teleflip
Telus
Telus Mobility
US Cellular
Verizon
Virgin Mobile
This information is used for text messaging capabilities.
Parent 2 - Work Phone
xxx-xxx-xxxx
Parent 2 - Would you like to Volunteer?
None
Head Coach
Asst. Coach
Team Manager
Board Member
Other
Proceed to Next Step.
Player Short Size
Player Shirt Size
Player Jersey Size
First choice Jersey Number
Second Choice Jersey number
Payment
CASHAPP: $KLLFOOTBALL, CASH OR CHECK
Amount Outstanding
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.
I agree
Please enter your initials to approve this waiver
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.
I agree
Please enter your initials to approve this waiver
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
Please enter your initials to approve this waiver
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.
I agree
Please enter your initials to approve this waiver
School
I understand that school enrollment will be verified in May and again in August. If a child does not attend Kiefer schools for the 2025-26 school year, that child will not be allowed to participate in the league.
• If a child has a transfer on file with the school, they may be allowed to register, but they will only be allowed to participate in the fall if they attend Kiefer schools.
• The only exception to this rule will be made if the child lives in the Kiefer school district and attends a homeschool or virtual program, or attends a school that does not offer a football program. All exceptions must be approved by the board. Addresses will be verified to ensure that they are inside the school district.
• If a family chooses to not attend Kiefer Public Schools, the league will offer to refund the registration fee and buy back uniform pieces. The parents must contact the league if they desire to request a refund or sell pieces.
• If a transfer is not granted and the child is unable to attend Kiefer Public Schools, the league will offer to refund the registration fee and buy back uniform pieces. The parents must contact the league if they desire to request a refund or sell pieces.
I agree
Please enter your initials to approve this waiver
Payment Agreement
I understand that I am responsible for paying the $250 registration fee to Kiefer Little League. I must pay in the form of check, cash or cash-app only at the time of submitting this registration form. No athletes will be added to a team after the close of registration.
• If the check does not clear, I understand that I will be required to make the payment in cash and that a $25 fee will be charged to cover the insufficient funds fee from the bank.
• If paying by check, please put athlete's name and grade on the memo line.
I agree
Please enter your initials to approve this waiver
Communication
I understand that after registration a team will be formed. A coach will be appointed, and all contact information will be given to the coach for future communications. Each team will use GroupMe for all communications. I am responsible for downloading GroupMe. All communication must be directed through this app and should be team related only. Communication through GroupMe should be conducted no later than 9 pm, unless an emergency arises. No inappropriate comments will be tolerated. An athlete may be removed from the team if these guidelines cannot be respected.
I agree
Please enter your initials to approve this waiver
Social Media Agreement
I understand I will not post about KLL on social media negatively. I will contact the team coach and/or directors of KLL if any issues arise. No inappropriate comments will be tolerated. An athlete may be removed from the team if these guidelines cannot be respected.
I agree
Please enter your initials to approve this waiver
Function Agreement
I understand that the KLL Players participate in the school homecoming parade, and parents are required to supply their athlete with candy to participate.
I agree
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Liability Agreement
I understand that KLL uses facilities of Kiefer Public Schools and the Town of Kiefer but operates as a separate entity. I will not hold Kiefer Public Schools or the Town of Kiefer responsible for any injuries incurred while on the property. I also understand that I am expected to maintain the facilities while participating with KLL. I am also responsible for supervising my non-participating children.
I agree
Please enter your initials to approve this waiver
Release of liability and participation authorization
Parent/Guardian name) ___________________________________, for himself/herself and for his/her spouse, for his/her child (participant) and other children, hereby represents, and agrees to the following:
My child, _______________________________________ has my permission to participate in all KLL sponsored or endorsed activities. The KLL and its officers, board members, coaches, coaching staff, agents, licensees are hereby released from all liability or responsibility for any injury that may occur to my child, to me, my spouse, other children, family members and guests resulting directly or indirectly from my child’s participation in KLL activities. This includes, but is not limited to league, tournaments, practice, scrimmages, games, transportation to and from games, or otherwise and the use of practice facilities, game facilities, concession facilities or any facility related to KLL.
I agree
Please enter your initials to approve this waiver
Authorization for emergency treatment
I hereby authorize DR. _______________________________ or any physician, surgeon or dentist on the medical staff of ___________________________ or nearest emergency medical center to administer any emergency treatment, procedure or medicine necessary or advisable when accompanied by an adult.
I further authorize (Player's Name) _________________________________ to be transported to the emergency at ______________________________________ or nearest emergency medical center.
I also authorize officials at KLL to secure the use of an ambulance if necessary for transporting my child to the hospital, and/or to administer first aid treatment if necessary. I further agree to pay the hospital, doctors, and ambulance service for all charges rendered to the above-named patient. I request that this authorization remain in force as long as my child is engaged in any activity relating to KLL, unless noted in writing of change by me.
Signature (parent/guardian): ___________________________________ Relationship: _____________
I agree
Please enter your initials to approve this waiver
Rules and regulation contract
I, __________________________________, have read the Members Rules and Regulations as stated by the Board of Directors of KLL; I hereby agree to abide by said Rules and Regulations. I have also read and fully understand the penalties described by KLL for the violation or non-compliance of said Rules and Regulations, and by my signature do agree to these terms and conditions. By my signature all other parents, guardians, relatives, children, family members and/or guests of any of the above named, shall abide by the same Rules and Regulations, their terms, and conditions,
I agree
Please enter your initials to approve this waiver
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