CO-ED 2026 WINTER SEASON REGISTRATION & WAIVERS FORM

Please fill out the secure online registration and waivers form for each athlete. If the player is under 18-years old, must be signed by the player’s parent or legal guardian. No player will be allowed to participate in Carolina Blitz Flag Football activities without this form, properly executed, and on file. If you have any questions, please feel free to contact us at info@carolinablitzflagfootball.com 

In collaboration with Onslow County Parks and Recreation—an official NFL FLAG partner—Carolina Blitz Sports Corporation (CBSC) proudly leads the youth flag football program, delivering inclusive, high-quality sports experiences that build character and strengthen communities throughout North Carolina.

https://www.carolinablitzflagfootball.com

I, the undersigned, in consideration for the athlete's participation in Carolina Blitz Sports Corp. training, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:

Football is a physical, contact sport that involves the risk of injury. I assume all risks and hazards associated with the athlete's participation in the sport. The athlete is in proper physical condition to participate in these practices, games, and events, and has no illness, disease, or existing injury or physical defect that would be aggravated by the athlete's participation. I will inform a Carolina Blitz Sports Corp. board member if this status changes. I further acknowledge that this risk may involve loss or damage to me or my property, including the risk of death, or other unforeseen consequences, including those which may be due to:

• the unavailability of immediate emergency medical care

• weather (e.g., rain, sleet or snow etc.)

• a defect in the equipment

• training methods employed by coaches or staff

Carolina Blitz Sports Corp. does not have personal injury insurance that covers the athlete's participation. Therefore, I should have a current, active personal injury insurance policy in force, which covers the athlete's participation. Under any condition, I am responsible for all medical expenses arising from the athlete's participation, both during practices, games, and events and while traveling to and from them. I have the right and responsibility to inspect the equipment and facilities before practices, games, and events. If I believe that anything may be unsafe, I will advise any Carolina Blitz staff of the condition and may refuse to participate. Participation constitutes acceptance.

I authorize my and the athlete's photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of the practices, games, and events, without compensation.

I hereby release, waive liability, discharge, hold harmless, agree to indemnify, and covenant not to sue Carolina Blitz, LLC or Carolina Blitz Sports Corp. or any Carolina Blitz, LLC staff or Carolina Blitz Sports Corp. staff from any and all liability incurred in the conduct of, and my participation in, its programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns. I acknowledge that it is my right and responsibility as a guardian of the participant to refuse participation in any training method.

I hereby state that I have carefully read the above waiver. Acceptance and understanding of this agreement are hereby acknowledged.

Medical Authorization and Consent

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Carolina Blitz staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates of the registered sessions.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Concussion Waiver

While Carolina Blitz programs are designed to be low-contact and the risk of concussion is minimal, we remain committed to athlete safety and education. Please read and acknowledge the following concussion awareness and safety policy as part of your registration.

What Is a Concussion

A concussion is a type of traumatic brain injury (TBI) caused by a bump, blow, or jolt to the head—or by a hit to the body that causes the head and brain to move rapidly back and forth. This motion can lead to chemical changes in the brain and, in some cases, damage to brain cells.

Key Facts About Concussions

• A concussion is a brain injury.
• All concussions are serious.
• Concussions can occur without loss of consciousness.
• Concussions can happen in any sport or activity.
• Early recognition and proper management are critical to preventing further injury or even death.

Recognizing a Possible Concussion

Watch for these two key indicators:

1. A bump, blow, or jolt to the head or body that causes rapid head movement.

2. Any noticeable change in the athlete’s behavior, thinking, physical coordination, or sleep patterns. These signs may appear before the athlete is aware of them.

Our Safety Commitment: When in Doubt, Sit Them Out

Carolina Blitz follows the nationally recognized “When in Doubt, Sit Them Out” protocol. If an athlete is suspected of having a concussion:

• They will be removed from play immediately.

• They will not return to play until cleared by a licensed healthcare professional.

• Coaches, parents, and volunteers are expected to err on the side of caution and prioritize the athlete’s long-term health.

By signing this waiver, you acknowledge that you have read and understood our concussion safety policy and agree to support our commitment to athlete well-being.

Media Waiver Release

As per our terms and conditions: 

You grant Carolina Blitz LLC/Carolina Blitz Sports Corp. , its representatives, and employees the perpetual right to take photographs, videos, or other recordings of your child participating in Carolina Blitz activities. You authorize Carolina Blitz Sports Corp. to use and publish these images/recordings in print and/or electronically, with or without names, for any lawful purpose, including for publicity, illustration, advertising, and web content. You understand that this release is without compensation.

Acknowledgment
By signing the REGISTRATION & WAIVERS FORM I acknowledge that I have received, read, and understand the CBSC Parent/Guardian Code of Conduct. I accept responsibility for ensuring that I and any guests or family members will comply with this policy.

By submitting this payment, you acknowledge and agree to the following:

• Registration fees are non-refundable once the season begins, except in cases of program cancellation or verified medical withdrawal.
• Full payment is required to secure your athlete’s spot for the upcoming season.
• CBSC reserves the right to adjust team assignments, schedules, or locations due to enrollment, weather, or facility availability.
• All participants must agree to CBSC’s Consents and Waivers as part of registration.
• Payment does not guarantee placement on a specific team or with specific coaches unless otherwise arranged through CBSC.

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at info@carolinablitzflagfootball.com