VIRGINIA BEACH MUSTANGS Football_____ Cheerleading_____

ASSOCIATION

(2017) Participant Registration Addendum

PLEASE PRINT

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Participant Last Name First Name Middle

# Years in tackle football/cheer: ____

# Years in Pop Warner: ____ Pop Warner Team/Squad Last Year: ______(Name & Level)

By checking this box I authorize the release of my name, address & phone number for carpooling purposes only. _____

I/We the parent/guardians of the above named candidate for a position on any of the Virginia Beach Mustang Pop Warner Football/Cheer teams, hereby give My/Our permission to his/her participation in any and all Virginia Beach Mustang Pop Warner Football/Cheer activities. I/We assume all risks and hazards incidental to such participation including transportation to and from such activities, and I/We do hereby waive release, absolve, indemnity and agree to hold harmless the Virginia Beach Mustang Association, the sponsors, supervisors, participants, volunteers and person(s) transporting My/Our child to and from activities for any claim arising out of injury to My/Our child.

PARENT VOLUNTEER HOURS: As the parent/guardian of the above participant, your assistance will be called on during the current season and it is mandatory that each parent/guardian volunteer a MINIMUM of 6 (six) HOURS per child (i.e., coaching, team mom, MPR, concession, field chains/marker crew, Bowl Games, etc.) All Pop Warner functions support the general fund for our association and benefit all of the children.

FUNDRAISING: The main source of revenue for the Virginia Beach Mustangs Association is fundraising. Fundraising is not OPTIONAL,

IT IS MANDATORY for all participants in our organization. Every child will be required to participate in any team fundraisers which are separate from the VBM association fundraiser. Any child/parent refusing to fundraise may be dropped from his/her team.

A $100 buy-out option is available for those parents not wishing to participate in the mandatory VBM association fundraiser.

CONDUCT: Any issues parents/guardians may have shall be addressed either before or after practices and games.

During practice and games your child’s coach is in charge. Please refrain from interfering with his/her job.

Violators may be banned from practices & games

WEBSITE PICTURES: I/We give permission to have my/our child’s picture on the Virginia Beach Mustang website;

No names are listed with pictures.

NON-REFUNDABLE REGISTRATION FEE:

The registration fee is non-refundable. Please make checks payable to VBMA.

Registration fees are as follows: $195.00 Tackle Football $130.00 Cheerleading

$10 Online Registration Discount

Checks returned to the association from the bank for any reason are subject to a returned check fee of $35.00

By My/Our signature below I/We attest that I/We have read, understand and agree to this contract in its entirety, and hereby grant my authorization to participate and consent to emergency medical treatment of said minor.

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Father/Guardian Date Mother/Guardian Date

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E-MAIL ADDRESS