M.Y.A. SPORTS Raptors Elite - Youth and Adult Sports
Raptors Elite Registration Form

 


Child's First Name
Last Name
Current Grade
Date of Birth
Age
Gender
M
F
Parent's Name
Parent's E-mail Address
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Sports Registration
Jersey Size
Team Grade/Age
Medical Condition(s)/Allergies
I am willing to volunteer as a(n)
Name of Person Volunteering
In Case of Emergency
Name of local friend or relative (Not living at same address)
Relationship to child
Home/Work Phone
Cell Phone
By my/our submission of the registration form, and payment of the registration fee, I/we (the parent(s)/guardian of the player named above) hereby give my/our approval for him/her to participate in any and all M.Y.A. SPORTS activities. I/We also waive, release, absolve, indemnify, and hold harmless M.Y.A. SPORTS, Seminole County School Board, their officers, directors, sponsors, drivers, employees, coaches, and volunteers for any claim arising out of an injury to the player named above. I/we acknowledge that in all sports there are certain risks of physical injuries, and all players participate at their own risk. Further, I/we, and the player(s) named above agree to abide by all rules, regulations, and guidelines established by M.Y.A. SPORTS. A $35 fee will be assessed for returned checks for insufficient funds.
I give permission for M.Y.A. SPORTS to photograph, video tape and/or film child while participating in any M.Y.A. SPORTS activities to be used by M.Y.A. SPORTS, for educational and promotional purposes.
Parent/Guardian Signature
Date
Please initial here if you would like your child to opt out of all photography done by M.Y.A. SPORTS