Registration – LA Vernia Grizzlies Youth Sports Association

Registration Form

Step 1 of 5

GUARDIAN INFORMATION

Guardian 1 Name:

Last First

Guardian 2 Name:

Last First

Phone:

Email:

Address:

Street Address City State / Province / Region ZIP / Postal Code

Address (if different from Guardian 1):

Street Address City State / Province / Region ZIP / Postal Code

VOLUNTEER REQUIREMENT

In order for our organization to be successful, each participant will have a parent or guardian required to volunteer at least 4 hours (one child) or 6 hours (multiple children) of volunteer time during the season. This can be obtained through committee and/or board membership and participation. Additionally, every family is expected to participate in fundraising efforts as presented.

I, parent or guardian of the player(s) listed above, understand that I am required to fulfill a minimum of 4 or 6 hours of volunteer time for each season my child(ren) is/are involved in a sport activity with LVGYSA. I will do so by signing up to assist in functions such as working concessions, field maintenance, special field days, or other duties as needed to help the Grizzlies be successful. I further understand if I do not wish to volunteer I can do so by paying a $150.00 OPT OUT fee.

Consent(Required)

I Opt In to Volunteer

I Will Pay the Opt Out Fee ($150.00)

DISCLAIMER: If you "Opt In", you will be given the opportunity to select the position and time for which you would like to volunteer for (front gate, chain gang, concessions, etc..). If game day positions are not filled, the Volunteer Director may assign you a position based on volunteer hours needed and you are expected to fulfill that requirement.

Signature:(Required)

Typed Name Certifies Information Provided Above is Accurate

PERSONAL CONDUCT POLICY

La Vernia Grizzlies Youth Sports Association (LVGYSA) strives to be the best in providing a positive sportsmanship environment for our players. Our program is bigger than any one player, coach or spectator.

I understand that repeated violations may result in participants being removed from the field, spectators being prohibited from returning to the facility, or other actions as deemed necessary by the board of directors. All decisions of the board are final. I understand that we are expected as parents/guardians to conduct ourselves in a civil manner at all LVGYSA sponsored events and failure to do so could result in expulsion from the event by the host organization and or league officials. I understand that the consumption of alcohol and use of tobacco products at games and sponsored events is strictly prohibited.

• Encourage members of both teams. • Keep all comments positive. • Only officials, players, coaches and team mom are allowed on the field for practice and games, no exceptions. • Leave the coaching to the coaches. • Understand that criticizing the officials, coaches and opponents is not acceptable. • Abusive language and cursing will not be tolerated. • Be responsible for all family members and friends attending games to support your child. • Report violations and concerns to a head coach or board member. Do Not be afraid to get involved. • A parent or guardian must be present at the field with your child AT ALL TIMES. • Parking is restricted to designated areas.

Acknowledgements:(Required)

I the undersigned, do hereby grant to Tackle Youth Football & Cheer Association (TYFA) and LVGYSA the unrestricted and exclusive right and permission, free from approval or review, to copyright and/or use my child’s likeness in any and all media now or hereafter known, including but not limited to, pictures and videos of which my child may be included intact or in part for promotion or other commercial use.

I understand that TYFA and LVGYSA does not provide any medical or accident insurance coverage for my child. I assume all risks and hazards incidental to such participation.

In the event of an injury to my child, I hereby grant authority to a qualified physician to render such medical treatment as said physician deems necessary under the circumstances.

I understand I am responsible for the return of all equipment issued to my child by LVGYSA when asked and that I am fiscally responsible for any costs for the excessive damage or loss of said equipment. I understand that if I do not return or pay for the equipment that my child can be put on HOLD until I resolve the situation. I understand that to being put on HOLD will not allow my child to participate with any other organization in TYFA or any other sport in LVGYSA.

I agree to adhere to the rules, policies and procedures of TYFA and LVGYSA and I agree that my status and that of my child’s can be terminated with or without cause, and with or without notice, at any time by TYFA or LVGYSA. I agree not to defame or slander TYFA or LVGYSA or any of its members or do anything that may cause damage to TYFAs and LVGYSAs image or identity. I understand that the consumption of alcohol, tobacco products, profanity or inappropriate gestures is strictly prohibited at TYFA and LVGYSA events.

I agree to indemnify and hold harmless, TYFA and LVGYSA, and all of its agents, employees, or any other person against loss or expense including attorney’s fees, by reason of the liability imposed by law upon the TYFA and LVGYSA except in cases of TYFA and LVGYSA sole negligence. TYFA, LVGYSA, and myself (hereinafter referred to as the Parties) agree that if any dispute, claim or controversy arises between us, we agree that we will first attempt to resolve the dispute by mediation. If mediation fails to resolve the dispute, the parties agree that any and all claims, controversies or disputes arising shall be settled by binding arbitration. Further, venue for the arbitration proceeding shall be in the city of the Organization or San Antonio, Texas when it involves TYFA. The parties hereto also agree that any award tendered by the arbitrator may be entered as a judgement in any court in Texas as enforceable as an order of said court and the parties hereby submit to the venue and jurisdiction of that court.

Consent(Required)

I Agree and Consent to the Personal Conduct Policy(Required)

Signature:(Required)

Typed Name Constitutes Electronic Signature

LIABILITY RELEASE

READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS

I acknowledge and fully understand as a parent/guardian of the player(s) listed in this application both for myself and (if applicable) any members of my family, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by the LVGYSA, or the employees, representatives or agents of the LVGSA.

2. ASSUMPTION OF RISKS AND LIABILITY RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge the LVGYSA and it’s assigns for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of the LVGYSA, whether caused by the fault of myself, my family, the LVGYSA or other third parties.

3. PERSONALLY OWNED EQUIPMENT. I fully recognize and accept all risks involved by providing personally owned equipment (helmet and shoulder pads). I accept and release LVGYSA of all liability pertaining to potential injury as a result.

4. INDEMNIFICATION. I agree to indemnify and defend the LVGYSA and their assigns against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of the LVGYSA.

5. FEES. I agree to pay for all damages to the facilities of the LVGYSA caused by any negligent, reckless, or willful actions by me or my family.

6. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Texas law.

7. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement If I so desire. I further agree and acknowledge that the LVGYSA has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

8. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event, any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

9. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

10. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure. Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.

11. EMERGENCY CONTACT. In case of an emergency, please call:

POC:(Required)

First Last Phone Number Relationship

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

Consent(Required)

I Agree and Consent to the Release of Liability Policy(Required)

Signature:(Required)

Typed Name Constitutes Electronic Signature

PHOTO RELEASE FORM

Dear Parents, Throughout the season, there will be many memorable moments on the field. Please be aware that your child may be photographed and/or videotaped at our games and events. We would love to include these videos and photographs on our Facebook page, and our website. Also, there will be times when we share photographs with our sponsors. Please fill out the form below indicating if you approve or disapprove your child being featured on our social media pages, website and prints.

Yes, I give LVGYSA permission for my child(s) photo to be released and appear in platforms related to the Grizzlies .

No, my child(s) photograph may not be released and used by Grizzlies.

La Vernia Grizzlies Youth Sports Association Photo Release Form

Signature:(Required)

Typed Name Constitutes Electronic Signature and Agreement to the Selection Above

Registration Form

PLAYER INFORMATION

GUARDIAN INFORMATION

VOLUNTEER REQUIREMENT

PERSONAL CONDUCT POLICY

LIABILITY RELEASE

PHOTO RELEASE FORM