Adult Flag Football Registration

Step 1 of 8

2021 ADULT UNA Bears Registration
Player 1 Name*
First Last
As it is written on legal identification.
Player 1 Gender*
- Male
- Female
Player 1 Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email Address*
Player 1 Address*
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.*
List any medical and/or physical conditions or allergies that will be important for the coaches to know.*
Consent*
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION*
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 2 Name*
First Last
As it is written on legal identification.
Player 2 Gender*
- Male
- Female
Player 2 Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email Address*
Player 2 Address*
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.*
List any medical and/or physical conditions or allergies that will be important for the coaches to know.*
Consent*
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION*
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 3 Name*
First Last
As it is written on legal identification.
Player 3 Gender*
- Male
- Female
Player 3 Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email Address*
Player 3 Address*
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.*
List any medical and/or physical conditions or allergies that will be important for the coaches to know.*
Consent*
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION*
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 4 Name*
First Last
As it is written on legal identification.
Player 4 Gender*
- Male
- Female
Player 4 Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email Address*
Player 4 Address*
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.*
List any medical and/or physical conditions or allergies that will be important for the coaches to know.*
Consent*
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION*
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 5 Name*
First Last
As it is written on legal identification.
Player 5 Gender*
- Male
- Female
Player 5 Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email Address*
Player 5 Address*
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.*
List any medical and/or physical conditions or allergies that will be important for the coaches to know.*
Consent*
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION*
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 6 Name
First Last
As it is written on legal identification.
Player 6 Gender
- Male
- Female
Player 6 Date of Birth
Date Format: MM slash DD slash YYYY
Phone
Email Address
Player 6 Address
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.
List any medical and/or physical conditions or allergies that will be important for the coaches to know.
Consent
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Player 7 Name
First Last
As it is written on legal identification.
Player 7 Gender
- Male
- Female
Player 7 Date of Birth
Date Format: MM slash DD slash YYYY
Phone
Email Address
Player 7 Address
Street Address City State ZIP Code
Player Health Information
List any medications currently taken by the player.
List any medical and/or physical conditions or allergies that will be important for the coaches to know.
Consent
As a player in the Una Bears Sports program, I will always play with good sportsmanship and conduct and act to the best of my ability. I will make every effort to attend all games and be respectful of all players, coaches and affiliates of the program.
I, the PLAYER, agree to the statement above.
AUTHORIZATION & INDEMNIFICATION
AUTHORIZATION & INDEMNIFICATION
The undersigned player hereby consents to the full participation in UNA Sports Program.

I acknowledge that the activities that I will be involved in may be dangerous in nature and I know and understand those dangers to which I will be exposed. I specifically acknowledge and understand that football is a sport with risk of serious injury or even death.

I do hereby voluntarily assume each, every, and all risks and/or hazards to which I might be exposed during UNA Sports activities including, but not limited to, playing said sport, and medical attention of any nature resulting from injuries sustained in the activities.

I do hereby WAIVE, RELEASE, ABSOLVE AND AGREE TO INDEMNIFY PAY AND HOLD SAFE AND HARMLESS said football program, its entire organization, the local league/community, their coaches, participants, Board of Directors, all officers, all assistants, persons and/or organizations that transport the participants for any purpose for and from all claims, injuries, damages of both a compensatory and punitive nature and for any and all other claims and/or damages which might arise out of and/or due to the player's participation in said activities.

The player's signature that appears below does hereby consent to any and all medical treatments including anesthesia and operations which may be deemed necessary by medical care providers attending to the player for injuries sustained in the activities.

I further agree and acknowledge that I am responsible for all charges incurred in connection with treatment and care rendered to the above-named player pursuant to this agreement.

In signing this form, I also give this organization permission to use my photograph as a participant on our website.

I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS.
I, the PLAYER, agree to the statement above.

Registration Fee

Step 1 of 8

2021 ADULT UNA Bears Registration

Player Health Information

Player Health Information

Player Health Information

Player Health Information

Player Health Information

Player Health Information

Player Health Information

Registration Fee