Step 1 of 5 20% 2023 UNA Bears Student RegistrationStudent is registering for...* Cheerleading Football Student Name* First Last As it is written on birth certificate.Student's Gender* Male Female Student's Date of Birth* MM slash DD slash YYYY Student age on July 31, 2023*Phone*Parent's Email Address* School InformationName of School Attending for Fall 2023* Student's Grade for Fall 2023* Is the student an experienced player/cheerleader?* Yes No How many year's experience?*What team/coach did the student play/cheer on last year?* Parent/Legal Guardian InformationStudent lives with: Mother Father Both Parents Legal Guardian Mother's InformationIt is necessary to fill out for the parent the child does not live with.Mother's Name* First Last Mother's Address* Street Address 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 Phone Number*Father's InformationIt is necessary to fill out for the parent the child does not live with.HiddenFather's Name* First Last Father's Address* Street Address 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 Phone Number* Student Health InformationList any medications currently taken by the student.*List any medical and/or physical conditions or allergies that will be important for the coaches to know.* Registration Fee and ConsentStudent Consent*As a player / cheerleader in the Una Bears Youth 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 practices, maintain passing grades in schoolwork and obey my parents, teachers and coaches. I, the STUDENT, agree to the statement above.Parent/Legal Guardian Consent*PARENTAL AUTHORIZATION & INDEMNIFICATION The undersigned parent and/or guardian of the above-named minor, hereby consents to the full participation by the above-named minor in the Tennessee Youth Football League (TNYFL) and agree for said minor to be assigned by TNYFL or TNYFL agents a TNYFL team. I acknowledge that the activities that my child will be involved in may be dangerous in nature and I represent that I know and understand those dangers to which my child will be exposed. I specifically acknowledge and understand that football/cheerleading is a sport with risk of serious injury or even death. I do hereby voluntarily assume on behalf of the above-named minor each, every, and all risks and/or hazards to which said minor or myself might be exposed during TNYFL activities including, but not limited to, playing said sport, cheerleading and/or transportation to and from all activities 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 / cheerleading program, it’s entire organization, TNYFL, 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 above-named minor’s participation in said activities. The parent/guardian whose signature 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 above-named minor 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 minor pursuant to this agreement. In signing this form, I also give this organization, as well as TNYFL, permission to use my child’s photograph as a participant on either website. I ACKNOWLEDGE THAT I HAVE FULLY READ THIS COVENANT AND AGREE AND CONSENT TO THESE TERMS AND CONDITIONS. I, the PARENT/LEGAL GUARDIAN, agree to the statement above. Δ