2023 Edgefield County Youth Football League Cheerleading Registration Form "*" indicates required fields 1Players Information2Parental Information3Pay & Submit Players InformationPlayer's Name:* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player's Birth Date:* MM slash DD slash YYYY Age as of September 1, 2023:*Team Played for last Season:* Jersey Size:*Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra Large Parental InformationFather's Name: First Last PhoneMother's Name First Last PhonePrimary Contact for practice and games:* Would you the Parent be willing to Volunteer with the League: Head Coach Assistant Coach Concession Duty PARENTAL AUTHORIZATION*I do hereby grant permission for the above named youth to participate in any and all activities of the ECYFL during the 2023 season. I assume all risks and hazards incidental to such participation including transportation and from such activities and do hereby waive, release, absolve, indemnify, and agree to hold harmless the ECYFL, organizers, respective coaches, assistants, league officials, agents, other players or parents/guardians, sponsors, supervisors, participants, volunteers, and any other persons from any and all claims for damage or injury arising from any activities of this sports program, except the extent and in the amount covered by accident or liability insurance. I further grant permission for emergency first aid to be given to this minor and for him/her to be taken to the emergency room of a nearby hospital in the event of serious injury. Permission is granted to the hospital and staff to provide any treatment that that physician deems necessary for the wellbeing of the child. I understand that the assignment of my child to the League teams is at the discretion of the League Officials. I will furnish a Birth Certificate of the above named candidate when requested to do so by the code of conduct in the ECYFL and the code of conduct in the ECYFL Bylaws. I agree.Signature:* First Last By signing your name electronically on this Registration Form, you are agreeing that your electronic signature is the legal equivalent of your manual signature on this Form. Registration Fee is $60.00. You may pay below. Cheerleading SignupRegistration fee is $60.00. You may pay below. Credit Card*Card Details Cardholder Name