Soccer Registration TinyTot – U6 Fall of 2023 – Birth Year 2018 – 2021 RM_StatsDate *Athlete First NameAthlete First NameAthlete Last NameAthlete Last NameBirthdateBirthdateGrade (PK, K, 1 - 6)Athlete GradeAthlete's Age *Athlete's AgeGender *GenderLast Physical *Last physicalMedical ConditionsAny Medical ConditionsShirt Size * YXS YS YM YL YXL AS AM AL T-shirt sizeParent/Guardian First Name *Parent/Guardian Last Name *Email *Cell Phone *Permission to Text? Yes No Will you allow us to text you?Address Address Line 1 * Address Line 2 City * State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region * Zip * Emergency Contact NameEmergency Contact PhoneAlternate Contact for Team UpdatesThird Contact for Team UpdatesTiny Tot Soccer Registration *Tiny Tot Soccer Registration Fee of $25HOLD Harmless and Liability Waiver *WAIVER AND RELEASE OF LIABILITY We / I the legal guardian(s) of the named minor child do hereby give consent and approval for said child’s participation in any and all activities of RICHFIELD YOUTH SPORTS, Inc., (RYS), during the current season. In consideration of said child’s acceptance in such activities, We / I the undersigned, do agree to indemnify and hold harmless RYS, it’s Directors, Officers, Managers, Coaches and Agents, without regard to any negligence on their part, against any and all claims for damages, compensation or otherwise including any and all losses & expenses caused to or by our child while participating in activities of RYS. We /I further agree to return all moneys, tickets, items, equipment, etc., on time, to the proper authority or be held liable for same. We / I understand NO REFUNDS will be issued after a child receives his / her uniform, or portion thereof, refunds prior to that could be prorated and at the discretion of the RYS Board of Directors. Infectious Disease: By signing this waiver and release from liability, the undersigned, on behalf of themselves and on behalf of his/her child, acknowledges the contagious nature of COVID-19 and other infectious diseases and voluntarily assumes the risk that they may be exposed to or infected by COVID-19 or other infectious diseases by virtue of the participation of your son/daughter in RYS activities and that such exposure and/or infection may result in personal injury, illness, permanent disability or death. The undersigned understands and acknowledges that becoming exposed to or infected by COVID-19 or other infectious diseases during participation in RYS activities is a known risk and by signing of this document, hereby waives liability and holds harmless RYS, its board members, directors, agents, representatives, volunteers, its coaches and players and their families. The undersigned voluntarily agrees to assume all of the risks of contracting COVID-19 or other infectious diseases associated with participation in any RYS activities and accepts sole responsibility for any injury to themselves or their child resulting from the same. The undersigned hereby releases, covenants not to sue, discharges and holds harmless RYS, its board members, directors, agents, representatives, volunteers, its coaches and players and their families from any claims relating to the contraction of infectious diseases, including but not limited to COVID-19. Participation in any RYS activity requires all members and their guests to follow all guidelines and mandates that the State of New York, The County of Herkimer, The County of Otsego and the Richfield Youth Sports, Inc. have in place for any and all activities. Failure to follow the stated guidelines/mandates could result in being removed from the activity without refund.I accept on behalf of the named athleteHow can you help with this season?Volunteer RolesSelect a payment method * Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
