For Players Ages 8 - 15 years old (age on Sept 1, current year) Please CLICK HERE TO PRINT Printing this form does not constitute registration in the Ute Conference. This a Sample for you to read and review.
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Registration Form and Receipt will be completed at the end of the signup process. - Ute Conference, Inc.
Be advised that a player registering in the Judge / Juan Diego Districts may not register / play in the district in which he resides until he has "Red Shirted" (not participated) for one season. The same applies to a player who had been registered in another district and wishes to register / play in the Judge / Juan Diego Districts.
Insurance
I/we understand that the Ute Conference, Inc., provides secondary medical
insurance coverage for injuries sustained while participating in practice or
games. There is a $500.00 deductible and $10,000.00 maximum per accident. And
that all claims must be submitted no later than 60 days after the accident.
Equipment
I/we agree to be fully responsible for the return of the items of equipment
issued to the a forenamed player, in reasonable condition, with normal wear and
tear, when requested to do so by the Conference or district officials, or pay
the stated value of $260.00, plus all costs of collection including a reasonable
attorney fee plus interest. All equipment not turned in by the end of the
December 31 of current season will be turned over for collections.
District Boundaries, Age and Team Placement
I/we are aware of the Ute Conference District Boundaries and represent that
my/our son or daughter reside in the Ute Conference district in which he/she is
registering and acknowledge that in the event it is discovered that my/son or
daughter does not reside in such district, he/she will not be eligible to
participate in such district, all games are played are subject to forfiet and
player is subject to suspension and elimination of future participation in the
Ute Conference, Inc. I/we further represent that my/son or daughter is
in fact the actual age as represented above and understand that his/her
eligibility to participate is determined by his/her age. I/we also understand
that the team my child participates on and the coach he/she plays for is
determined solely by the District and/or Conference.
Liability Release, Indemnification & Parental Consent
Agreement
Activity Participation in the _________ Ute Conference, Inc., Supervised
football program as a member of __________________(District Name)
___________(team) football team.
Liability Release
In consideration of the acceptance of my application for participation in the
above activity, I hereby waive, release, and forever discharge the Ute
Conference, Inc., their districts, sponsors, organizers, officers, team coaches,
supervisors, assistants, and those transporting participants to and from the
above-described activity from any and all damages, risks, hazards, and personal
injury to my child named above as participant incidental to the above described
activity which may hereafter result or accrue as a result of participation in
said activity. This release is intended to release and discharge in advance
those based on negligence or carelessness, but not for intentional torts or
intentionally causing injury. I understand that the above activity involves an
element of risk or danger of injury. I hereby assume those risks, known or
unknown to me. Furthermore, I voluntarily clearly and unequivocally agree to
assume those risks, with the realization that I have the alternative of choosing
not to have my child participate in this activity. It is further understood and
agreed that this waiver, release and assumption of risk is to be binding on
myself, my heirs, executors, administrators and assigns.
Parental Indemnification
I agree to absolve, hold harmless and indemnify the Ute Conference, Inc., their
districts, organizers, sponsors, officers, employees, agents, coaches,
assistants and those transporting participants to and from practices and
football games from all liability and claim for damages, including personal
injury based on negligence or carelessness, but not for intentionally causing
injury
Parental Consent
I give my consent for my Child to Participate in the above activity, and I
execute the above liability release on behalf of my child and myself, our heirs,
assigns, executors and administrators. I execute the Parental Indemnification on
my own behalf. I clearly comprehend the force and effect of signing this
agreement.
Consent for Medical Treatment
I hereby give my consent to have the above participant receive first aid and
medical treatment or to be treated by a physician or surgeon in case of accident
or injury while participating in the above activity. It is understood the Ute
Conference, Inc. provides a secondary accident policy providing $2,500.00
medical expense benefit subject to a $100 deductible per accident. I understand
I am responsible for the deductible. I further understand that costs of medical
car, which exceed the limit of applicable coverage, will be at my expense. If a
personal physician is listed below, every effort will be made to contact such
physician. However, the location of the activity or the nature of the illness or
injury may require the use of emergency medical personnel.
Refund Policy
Prior to 1st day of practice/tryouts for team placement, a FULL REFUND will be given less
the Administration fee of $25.00. NO REFUND WILL BE GIVEN ON OR AFTER THE FIRST DAY OF
PRACTICE / TRYOUTS - NO EXCEPTIONS Refunds will only be issued after all equipment has been returned to the
district. You must provide a copy of your "Online Receipt" and have a "Request
For Refund signed by an Authorized District Official" in order to get a Refund.
Sales Policy
All Sales of merchandise from districts are Final and Non
Refundable.
Moving forward from this page is "Agreement to the Terms and Conditions of Participation in the Ute Conference".
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