Player Waiver

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SIGN YOUR WAIVER HERE
EVERY PLAYER MUST FILL OUT A WAIVER BEFORE THE FIRST GAME OF THE SEASON

FIRST NAME

LAST NAME

TEAM NAME

JERSEY NUMBER

DATE OF BIRTH

ADDRESS

CITY

POSTAL CODE

PLEASE SPECIFY ANYTHING WE SHOULD KNOW ABOUT

INITIALS

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I hereby grant permission to SURREY FLAG FOOTBALL LEAGUE to use photographs and/or video of me in publications, news releases, online, and in other communications related to the mission of SURREY FLAG FOOTBALL LEAGUE.

Your Signature

THANK YOU FOR SUBMITTING

SIGN YOUR WAIVER HERE *EVERY PLAYER MUST FILL OUT A WAIVER BEFORE THE FIRST GAME OF THE SEASON *

SIGN YOUR WAIVER HERE
EVERY PLAYER MUST FILL OUT A WAIVER BEFORE THE FIRST GAME OF THE SEASON