Vigo Youth Football League
2018 Registration Form

Membership Fee: $80.00

* You may also include payment with this form and mail to: VYFL, P.O. Box 3142, Terre Haute, IN 47803
* IMPORTANT: Registration will be paid in full before equipment is handed out to any player - no exceptions.

Players Full Name Date of Birth Age (as of june 1st)

Fall Grade: 1st 2nd 3rd 4th 5th 6th 7th 8th

District: South West North

School to be attending this fall:

Address City State Zip Code
Contact Phone Adult Contact Primary Email
Secondary Phone Adult Secondary Contact Secondary Email

If the player has a medical condition that could affect or limit their participation please notify the coach as soon as your child is assigned to a team. If the player's medical condition could require immediate medical attention you are responsible to have somebody present at all times to provide immediate treatment if necessary.

I / We, the Parents of the Above-named Candidate for a Position on a Vigo Youth Football League Team, Hereby Give My/Our Approval of His/Her Participation in Any and All Vigo Youth Football League Activities. I / We Assume All Risks and Hazards Incidental to Such Participation Including Transportation to and from the Activities; and I / We Waive, Release, Absolve, Indemnify and Agree to Hold Harmless Vigo Youth Football League, Sponsors, Supervisors, Participants, and Parents Transporting My/Our Child(ren) to and from Activities for Any Claim Arising out of Injury to My/Our Child(ren) Whether the Result of Negligence or for Any Other Cause, Except to the Extent and in the Amount Covered by the Accidental or Liability Insurance. I / We Agree to Abide by the Rules Set Forth by Vigo Youth Football League.

Parent or Guardian Name Date

EQUIPMENT: I / We Agree to return upon request any equipment issued to my/our child(ren) in as good condition as when received except for normal wear and tear.

Parent or Guardian Name Date

Name on Credit Card used for completion of this form: