CAPE YOUTH TACKLE FOOTBALL REGISTRATION FORM

CAPE YOUTH TACKLE FOOTBALL

2026 SEASON REGISTRATION FORM
DATE:*

MonthDayYear
Date
PAYMENT OPTION
$30 Initial Payment + 4 Payments of $20/week
FOOTBALL SEASONCHEARLEADING SEASONSUMMER CAMP - FOOTBALLSUMMER CAMP - CHEERLEADING
ATHLETE'S FIRST NAME*
ATHLETE'S LAST NAME*
DATE OF BIRTH:*

MonthDayYear
Date
AGE:*
MALEFEMALE
ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER:*
Format: (000) 000-0000.
SECONDARY PHONE NUMBER:*
Format: (000) 000-0000.
SCHOOL ATTENDING IN 2026:*
GRADE LEVEL FOR AUGUST 2026 SCHOOL YEAR:*
PARENT/GUARDIAN NAME:*

First NameLast Name
RELATIONSHIP TO ATHLETE:*

PARENT/GUARDIAN CONTRACT AND WAIVER
Please indicate if your son / daughter has any medical conditions that CYTF should be made aware of.
-For example Asthma, Allergies, Diabetes, Heart Disease,
previously broken bones:
Existing Medical Condition
PHONE NUMBER:*
Format: (000) 000-0000.
EMAIL ADDRESS:*
example@example.com
EMERGENCY CONTACT NAME:*
EMERGENCY CONTACT NUMBER:*
Format: (000) 000-0000.
PERMISSION TO PARTICIPATE

I, the parent/guardian of the above-named participant hereby acknowledge that my child is in good health with no known medical problems or pre-existing conditions and I give my knowing and voluntary consent for my child to participate in any and all Cape Youth Tackle Football (CYTF) activities. I understand, hereby give my approval for, and assume any and all risk of my child's use of various playing surfaces and conditions, including, but not limited to, dry and wet natural and artificial grass, hard dirt, and/or mud, and I hereby acknowledge and understand that said surfaces may be regular or very irregular.

In exchange for participation in the activity of Youth Tackle Football and Cheerleading organized by CYTF and the use of facilities, property and services provided thereby, including by not limited to fields, equipment, coaches, staff, a. I recognize that there are certain risks associated with the above described activity and I assume full liability for personal injury to myself and my child/guardian (hereinafter child shall be all inclusive) my family member and any attendees to the sporting activity for any injury, loss or damage arising out of my family's use of or presence upon the facilities of CYTF (allowed use) whether caused by fault of myself, child/guardian, my family or any other third party.
RELEASE OF LIABILITY
1. I acknowledge that I am fully aware of the potential risks of participation in the sport and I fully understand that participation in football and cheerleading may result in SERIOUS INJURIES, PARALYSIS, PERMANENT DISABILITY AND/ OR DEATH, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. FOR MYSELF, SPOUSE, CHILD INVITEES AND FAMILY FRIENDS, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF others, and assume full responsibility for my child's participation; I have read and looked over the "HEADS UP" CDC Concussion Awareness form provided and,
3. I willingly agree to comply with the program's stated usual and cuystomary terms and conditions for participation. If I observe any unusual significant concern in my child's readiness for participation and/or in the program itself, I will remove my child from the participation in the program and bring such to the attention of thearest official or coach immediately; and,
4. I, myself, my spouse, my child, family, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY WAITVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS CYTF and any and all organizers, sponsors, supervisors, participants, persons transporting the above named participant to and from activities,, and if applicable, owners and lessees of premises used to conduct the event ("Releasees"), WHIT RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child's involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASESS OR OTHER WISE. CYTF shall have no liability for my child's participation.
5. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kind, HEREBY INDEMNIFY AND HOLD HARMLESS all the about CYTF from any and all liabilities incident to my involvment or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE. I understand and waive my right to hold CYTF liable for any damage.

EMERGENCY MEDICAL AUTHORIZATION

I hereby grant my permission for any and all emergency medical treatment and/or first aid to be administered to my child/participant, including authorizing any CYTF personnel and/or medical treatment facility/hospital to administer emergency treatment, for any illness/injury/accident resulting from participation in any and all CYTF activities.
PARENT/GUARDIAN NAME (PRINT):*
PARENT/GUARDIAN NAME(sign):

Clear
DATE:

MonthDayYear
Date

My Subscriptions*

CYTF REGISTRATION PAYMENT PLAN

INITIAL PAYMENT OF $30 + 4 PAYMENTS OF $20/WK

$30.00 for the first payment then,$20.00 for each week

Credit Card

Should be Empty:

CAPE YOUTH TACKLE FOOTBALL

PARENT/GUARDIAN CONTRACT AND WAIVER

Credit Card