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Lineman Interest Form
Lineman Interest Form
Ty Dennis
2025-03-18T12:36:41-04:00
Who
: All current lineman in middle school (6th, 7th, and 8th) Grade.
Player Name
(Required)
First
Last
Player Email
(Required)
Player Phone
(Required)
Player Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Current School
(Required)
Current Grade
(Required)
Player Position
(Required)
Select One
OLine
DLine
Twitter and IG Name
(Required)
Parent Information
Parent Name
(Required)
First
Last
Parent Phone
(Required)
Parent Email
(Required)
Participation Consent(Required)
(Required)
By acknowledging and checking the checkbox, I agree to an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
I hereby give permission for our child, named above, to participate with Flight 300 Academy program and tryouts. If any equipment is issued to our child should be lost or damaged through our negligence or that of our child, I agree to pay to have damaged item replaced.
I understand that the insurance, which is carried by the team, is secondary to whatever coverage we have. In the event of a claim, I/we agree to submit the claim to our insurance company.
I hereby give permission for our child, named above, to be transported to a nearby emergency medical facility. Additionally, I give permission for medical treatment to be administered as deemed necessary by the medical staff. I, hereby, waive and release any and all rights and claims for damages or injury against Flight 300 Academy, the teams that compose the league and their administrators, board members and coaches for any and all injuries suffered by our child in games, practices, meetings, or transportation to and from such, which may occur during the season unless deem a malicious act by the Flight 300 Academy board.
INJURIES/ASSUMPTION OF RISK: I acknowledge that injuries may occur in the course of any athletic activity, and I/we hereby specifically assume all risk of any injury occurring during the course of our child's participation in the Event.
I recognize that Flight 300 Academy has the right to take photos of my child during participation and utilize them for promotional opportunities.
As Parents/Guardian of the above-mentioned minor, by signing this consent form, you acknowledge that you have read and understand the risks of participation and agree to the above terms. This acknowledgement of risk and consent to allow participation shall remain in effect until revoked in writing.
Covid 19 Consent(Required)
(Required)
By acknowledging and checking the checkbox, I agree to an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
I/we hereby grant consent to any and all health care providers to administer anynecessary medical care as a result of injury/illness. This consent includes First Aidand transportation to/from health care providers.
Flight 300 Academy has put in place preventative measures to reduce the spread of COVID-19; however, Flight 300 Academy cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Flight 300 Academy events could increase your risk and your child(ren)’s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending this event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Flight 300 Academy may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Flight 300 Academy coaches, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the event (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Flight 300 Academy, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Flight 300 Academy, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Flight 300 Academy program.
Emergency/Medical Release Consent(Required)
(Required)
By acknowledging and checking the checkbox, I agree to an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
I/we hereby grant consent to any and all health care providers to administer any necessary medical care as a result of injury/illness. This consent includes First Aid and transportation to/from health care providers.
Phone
This field is for validation purposes and should be left unchanged.
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