2018 7on7 League Registration Form  




7 on 7 League


Child's Name






Child of a certified Calvary Youth Football coach

Address


City, State & Zip


Child's Date of Birth


Age on Aug 31, 2018


Grade Completed


If you attend a church, which one?


School attended 2017-18


School attending 2018-19


Legal Guardian


Mother's Name


Father's Name


Home Phone


Mother's Cell


Father's Cell


Email


Emergency Contact Name


Emergency Contact Phone


Insurance Company


Policy Number


Insurance Phone


MEDICAL & LIABILITY RELEASE: In case of an emergency you are authorized to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of my child. I release Calvary Baptist Church, staff, and volunteers from claim or liability due to sickness or injury. I attest to the fact that the above named child is covered by an insurance policy covering illness and injuries (and/or) I accept all financial responsibilities concerning any medical emergency. I also accept responsibility to have my child picked up immediately in the event of illness, accident or disciplinary reasons.


I accept the above release.

Full Name









Jul 2018
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