entering no League Use Only higher than 6th grade this Fall. Date Postmarked: ______________ *Registration fee postmarked on or before 5/24/14: Cash: _______________________ 1st child - $80 / each additional sibling - $60 Check #: _____________________ *Registration fee postmarked on or after 5/25/14: Amount: _____________________ 1st child - $100 / each additional sibling - $80 *Refunds on or before 8/17/14 = $50; 8/18/14 to 8/25/2014 = $25; on or after 8/26/14 = NO REFUND.
*Make checks payable to: Ashland Youth Football League *Mail registration and payment to: Craig Scott, AYFL President 435 Parkwood Dr., Ashland, 44805
Mandatory Equipment Fitting on 5/31/14. See attached sheet for more information.
Complete the following (please print clearly): SCHOOL DISTRICT:
CHILDS NAME: ADDRESS: MAIN PHONE #:_____________________________________ SECONDARY PHONE #:_________________________________ GRADE THIS FALL (circle one):
Ashland
GENDER: Male Female
4th
5th
6th
BIRTH DATE:
No
__ CURRENT WEIGHT:________
DO YOU HAVE A SIBLING PLAYING IN THE AYFL? IS THIS YOUR (circle one) 1st 2nd 3rd
Emergency Information (must be filled out to participate). Use back of page, if necessary:
NAME of emergency contact person if parent is unavailable: _________________________________ PHONE: _________________ MEDICATION taken regularly, if any: MEDICAL or PHYSICAL problems, if any: NAME of childs physician: PHONE #: ( )
Parental Authorization
I, parent or guardian of , hereby give approval for his/her participation in any and all Ashland Youth Football League (child name) activities during the current season. I assume all risks and hazards incidental to such participation, including transportation to and from the activities; and so hereby waive any and all claims against the Ashland Youth Football League program or its representatives on account of any accident or injury or other damage that may be incurred to on said players property in connection with, or incidental to, the above named program. (child name) I also grant permission to managing personnel or other league representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should player become ill or injured while participating in league activities away from home when neither parent nor guardian is available to grant authorization for emergency treatment. ASHLAND YOUTH FOOTBALL LEAGUE IS CARRYING ACCIDENT INSURANCE FOR ALL PARTICIPANTS.
DATE:
#419-281-0698
*The AYFL Board appoints head coaches. Each head coach may select three assistant coaches. The assistant coaches are also Board approved. It is our philosophy that the head coach must be able to teach, coach, and be a positive influence to each child on his team. No parents can be head coaches. *FACEBOOK ~ Like the Ashland Youth Football League (AYFL) page & receive league updates and program information. *Community Donations have been an integral part of the ongoing success of the AYFL. The AYFL does not receive funding from the Ashland City or Hillsdale school districts. The AYFL is a non-profit organization. Donations are tax deductible.
If you would like to make a donation to the AYFL ~ Please include it with your childs registration payment.
Donations have allowed the AYFL to keep registration fees unchanged at one of the lowest rates in the state.