NFL Flag Football Forms

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2019 Fall Flag Football Forms

Please fill out this form AFTER you have registered for Fall 2019 NFL Flag Football by calling 703-777-1368 or registering via WebTrac at:
NFL Flag Football on WebTrac

Participant Information:

Participant Information:

Parent/Guardian Information:

Parent/Guardian Information:
How many seasons of organized football has the participant played (tackle or flag)
When was the last season your child played in Town Of Leesburg Flag Football League? (Example:  Spring 2016)
What team was your child on and who was the coach?

Which age group have you registered for?

Which age group have you registered for?
Would you be willing to be a volunteer Coach? If yes, please give your name, and specify head coach or assistant coach.
Would you be willing to be a volunteer Coach? If yes, please give your name, and specify head coach or assistant coach.

Is the participant involved in other activities/sports during the season which might result in missing multiple practices or games?
Is the participant involved in other activities/sports during the season which might result in missing multiple practices or games?

If so, please list activities and days of conflict:

Please list any other special requests (note:  not all requests can be honored.)
Jersey Size: (Sizes not guaranteed)
Jersey Size: (Sizes not guaranteed)
Parental Code of Conduct
We appreciate your interest in participating in our flag football league. Football is a sport that teaches leadership and teamwork, builds friendships and self-confidence. We need your help to ensure that the participants have a fun and positive experience. All of the coaches, spectators and referees should work together to support the participants as they demonstrate their skills in a friendly and fun competition.

Parents should set a good example to their child and other participants by:
*Not criticizing the referees openly or directly during or after the games. If there is any criticism please contact the league commissioner at 703-737-7157.
*Only give positive feedback to players on both teams.
*Cheering the efforts of all participants regardless of the outcome. Win or lose with dignity.
*Demonstrating patience and support of the coaches, referees and participants. Look at the opponents as friends involved in the same experience. *Leave the coaching to the coach. Please do not give your child instructions during the games.
*Making sure your child attends regularly scheduled practices.

Please understand that we reserve the to suspend your privilege to watch your child play if you do not demonstrate proper behavior.

Please remember, be a positive role model!
NFL Flag Player Registration Agreement: Terms and Conditions:
I agree to the terms and conditions of this agreement (this "Player Registration Agreement"), and I agree, warrant and covenant as follows:

1. PERMISSION TO PARTICIPATE. I certify that I (i) am the parent or legal guardian of the child ("Participant") being allowed to participate in the NFL FLAG football program (the "Program"), as part of a NFL FLAG league administered by a local league organizer; (ii) am of legal age and am freely signing this Player Registration Agreement without any inducement or assurance of any nature; and (iii) have read this form and understand that, by signing this form, I may be giving up certain legal rights and remedies. I agree that the terms of this Player Registration Agreement are binding on both me and the Participant.
2. RELEASE OF LIABILITY. In return for the Participant being allowed to participate in the Program, I release and agree not to sue the National Football League, its thirty-two professional football member clubs, NFL Properties LLC, NFL Ventures, L.P. and each of their respective employees, officers, directors, sub-contractors, sponsors, agents, affiliates, and subsidiaries (collectively, the "NFL Entities") from or for, as applicable, all present and future claims that may be made by the Participant or me, my family, estate, heirs or assigns for property damage, personal injury or wrongful death arising as a result of the Participant's participation in the Program, wherever, whenever, or however the same may occur. I understand and agree that the NFL Entities are not responsible for any injury or property damage arising out of the Program, even if caused by their ordinary negligence. I understand that participation in the Program involves certain risks, including, buy not limited to, serious injury or permanent disability. I am voluntarily allowing Participant to participate in the Program with knowledge of the dangers involved and agree to accept all risk of such participation. I certify that the Participant is in excellent physical health and may participate in strenuous and hazardous physical activities, including the football to be played in the Program.

I also agree to indemnify and hold harmless those listed above for all claims arising out of Participant's participation in the Program and all related activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Program is taking place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I further agree that any legal proceedings related to this waiver will take place in New York, New York.

3. PHOTOS/BROADCASTING RIGHTS. I understand that Program-related events may be photographed, videotaped or otherwise recorded and that descriptions or accounts of such events may be written or otherwise documented, and I agree to let the NFL Entities use Participant's name and/or likeness free of charge in any manner and in any media (now know or hereafter developed) and for any purpose without compensation to me or Participant and that the NFL Entities may use the information provided herein for solicitation of NFL Entities' programs/events. I further agree to let the local league organizer use the Participant's name and/or likeness free of charge on the Website (as defined below) in connection with any postings of team rosters or game stories.

4. EMERGENCY MEDICAL TREATMENT. Permission is hereby granted for Participant to receive any and all emergency medical/dental treatment and/or first aid, including authorizing any medical treatment facility/hospital to administer emergency treatment for any illness, injury or accident resulting from participation in the Program.

5. AUTHORITY TO REGISTER AND/OR TO ACT AS AGENT. I represent and warrant to th NFL Entities that I have full legal authority to complete this player Registration Agreement. In addition, to the extent that I am registering on behalf of a third party (or third parties), I represent and warrant that I have been duly authorized to act as agent on behalf of such party (or parties) in performing such registration. By proceeding with such registration, I agree that the terms of this Player Registration Agreement shall apply equally to me and to any third party (or parties) for whom I am acting as agent.

Compliance with Children's Online Privacy Protection Act ("COPPA"). I represent and warrant that, in compliance with COPPA, I am over thirteen (13) years of age, and that, to the extent that I am registering a child under fourteen (14) years of age, I am the parent or legal guardian of such child, and I do hereby consent to the collection of such child's personal information by the NFL entities.

6. LIMITATION OF LIABILITY; DISCLAIMER OF WARRANTIES. THE NFL ENTITIES SHALL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM: A. PROGRAM PARTICIPATION. (i)ANY AND ALL DEMANDS, RIGHTS, AND CAUSES OF ACTION OF WHATEVER KIND OR NATURE, ARISING OUT OF ALL KNOWN AND UNKNOWN, FORESEEN AND UNFORESEEN, BODILY AND PERSONAL INJURIES, DAMAGE TO PROPERTY, AND THE CONSEQUENCES THEREOF, INCLUDING DEATH, RESULTING FROM PARTICIPATION BY THE PARTICIPANT IN THE PROGRAM; OR (ii) THE COST OF PROCUREMENT OF GOODS AND SERVICES IN CONNECTION WITH THE PROGRAM. B. WEBSITE USE. (i) THE USE OR THE INABILITY TO USE THE WEBSITE; (ii) ANY GOODS OR SERVICES PURCHASED OR OBTAINED OR TRANSACTIONS ENTERED INTO THROUGH THE WEBSITE: OR (iii) UNAUTHORIZED ACCESS TO OR ALTERATION OF MY TRANSMISSIONS OR DATA, INCLUDING BUT NOT LIMITED TO DAMAGES FOR LOSS OF PROFITS, USE, DATA OR OTHER INTANGIBLE.

The NFL Entities make no warranty that the Website's services will be uninterrupted, secure or error free. The NFL Entities do no guarantee the accuracy or completeness of any information in, or provided in connection with, the Website. The NFL Entities are not responsible for any errors or omissions, or for the results obtained from the use of such information. I understand and agree that any material and/or data downloaded or otherwise obtained through the use of the Website is at my own discretion and risk and that I will be solely responsible for any damage to my own computer system or loss of data that results from the download of such material and/or date.

7. INDEMNIFICATION. I agree to indemnify and hold each of the NFL Entities and their officers and employees harmless from and against any and all damages, costs, claims or demands, including reasonable attorneys' fees, made by any third party due to or arising out of participation by Participant in the Program (including without limitation in connection with any medical treatment offered or given to Participant) or my and/or Participant's use of the Website or the violation of any term of this Player Registration Agreement or the NFL FLAG Terms of Service (located at www.NFLFLAG.com) by me.
8. APPLICABLE LAW; CONSENT TO JURISDICTION. This Player Registration Agreement shall be governed by and construed in accordance with the laws of the State of New York, excluding its conflict of law rules. I expressly consent and agree to submit to the exclusive jurisdiction and venue of the United States District Court for the Southern District of New York, or for matters not susceptible of adjudication in the federal courts, the courts of the State of New York located in New York County, in all disputes arising out of or relating to this Player Registration Agreement.
9. SEVERABILITY. I further expressly agree that this Player Registration Agreement is intended to be as broad and inclusive as is permitted by law and that if any provision of this Player Registration Agreement shall be unlawful, void, or for any reason unenforceable, then tat provision shall be deemed severable from this Player Registration Agreement and shall not affect the validity and enforceability of any remaining provisions.
10. USE OF PERSONAL INFORMATION. The NFL Entities shall use any Personal Identifying Information (as defined below) only for the purposes of order processing, fulfillment, customer service, and renewal or as otherwise described herein or at the time that such Personal Identifying Information was collected. The NFL Entities shall not use any Personal Identifying Information for marketing or solicitation purposes or for any other purpose unless the user was specifically notified of such potential use prior to entering such information. "Personal Identifying Information" shall include any information about users of the Website obtained by the NFL Entities or any information provided to the NFL Entities by registrants, magazine subscribers or other users of the Website.
11. NO USE OF MARKS. I understand that I shall have no right to use the NFL Marks (as defined below) for any purpose whatsoever without the prior written approval of the NFL Entities in each instance (such approval to be granted or withheld in the NFL Entities' sole discretion after a formal logo request process has been initiated by me). For the purposes of this Agreement, "NFL Marks" means the names, symbols, emblems, designs, and colors of the National Football League and the Member Clubs, including, without limitation, the terms "National Football League", "NFL", "National Football Conference", "American Football Conference", "NFC", "AFC", "Super Bowl", "Pro Bowl", the NFL Shield design, the NFL FLAG trademarks and the NFL Punt, Pass and Kick trademarks, as well as the full team names, nicknames, helmet designs, uniform designs, logos and slogan of the Member Clubs, and any other indicia adopted for commercial purposes by the NFL or any of its Member Clubs. I acknowledge and agree that all right, title and interest in and to the NFL Marks belong to the NFL Entities. I agree that the NFL Marks possess a special, unique and extraordinary character that makes difficult the assessment of the monetary damages that would be sustained by their unauthorized use. Notwithstanding anything to the contrary herein, I recognize that irreparable injury would be caused by the unauthorized use of any of the NFL Marks, and agree that injunctive and other equitable relief from a court of competent jurisdiction, would be appropriate in the even of such unauthorized use, and that such remedy would not be exclusive of other legal remedies. I recognize that the great value and goodwill associated with the NFL Marks belongs to the NFL Entities and that the NFL Marks have secondary meaning.
BY INDICATING MY ACCEPTANCE OF THIS PLAYER REGISTRATION AGREEMENT, I AM AFFIRMING THAT I HAVE READ AND UNDERSTAND THIS PLAYER REGISTRATION AGREEMENT, AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. I ACKNOWLEDGE THAT I AM SIGNING THE PLAYER REGISTRATION AGREEMENT FREELY AND VOLUNTARILY, AND INTEND BY MY ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
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