In order to guarantee a t-shirt all participants must pre-register by July 21, 2008.
Registrations will be accepted the day of the clinic, but the participants will not be guaranteed a free t-shirt.
Player Name
Date of Birth
Age
Parent(s) / Gaurdian(s) Name
Address
Home Phone
Alternate Phone
Email Address
T-Shirt Size
Select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Large
Adult X-Large
Ault 2XL
School
Grade
Youth Team Affiliation
Years of Experience
Please list any medical conditions that our staff should be aware of:
Have you attended a Warriors Football Game?
Select one
Yes
No
How did you hear about the clinic?
Select one
Radio
Newspaper
TV
Coach
Other
Personal Information Release
: The Lima Warriors Amateur Football Club, Inc. reserve the exclusive right to use all photographs, photographic materials, video and quotes in any manner deemed necessary, including but not limited to: publications, advertising, exhibitions, web sites, and displays. I agree to this policy by signing this agreement.
Liability Waiver
: By signing below, I acknowledge that all activities sponsored or conducted by Lima Warriors Amateur Football Club, Inc., (Lima Warriors) may be hazardous and may result in personal injury, loss, damage or death. With full knowledge of these dangers, I hereby RELEASE Lima Warriors and any of its leagues, groups, representatives, officers, directors, members, coaches or agents from liability, claims, demands or any causes of action and NOT TO SUE OR OTHERWISE MAKE ANY CLAIM against Lima Warriors and any of its leagues, groups, representatives, officers, directors, members, coaches or agents whatsoever which may arise during my participation in any activities of Lima Warriors. I intend this RELEASE OF LIABILITY to be effective whether or not any loss, damage, injury or death is the RESULT OF NEGLIGENCE of Lima Warriors or any of its leagues, groups, representatives, officers, directors, members, coaches or agents. I understand that negligence means a failure to do an act which a reasonable careful person would do, under the same or similar circumstances, to protect himself, herself or others from injury, loss or death.
Please make a selection.
By checking this box you agree to the
Personal Information Release and the Liability Waiver.
Your Name
Date