Regular Season On Line Registration

Submitted by WCFA on Wed, 06/06/2012 - 9:56am

Items with red star must be entered.
FORMS SUBMITTED WITHOUT PAYMENT WILL NOT BE ACCEPTED.

Player First Name: *

Player Middle Initial:

Player Last Name: *

Team selection: *

Central Ravens

We will not guarantee a spot on the team selected until certified by the front office.

Grade Level: *

1-2 Pee Wee Player

3-4 Junior Player

5-6 Senior Player

School Attending: *

Parents Email Address: *

Address 1:: *

Address 2::

City: *

State: *

CA

Zip Code: *

Home Phone: *

Cell/Text Phone Number: *

Emergency Phone: *

Parent First Name: *

Parents Last Name: *

By submitting this registration I acknowledge that I am over 18 years of age and agree for my child to participate in a sport activity or event sponsored by West Coast Football Association. I agree that the league and it's agent's, directors, facilitators, employees, sponsors, coaches and staff shall not be held liable for any injury or damage arising from their participation in any WCFA sponsored event. I further understand the risk of injury from activities in football whether known or unknown. I assume all risk of participation including transportation to and from the activity and waive, absolve and agree to hold harmless WCFA. This waiver shall apply to all persons or entities acting on my, or my child's behalf. Further, if emergency medical administration is needed by our child during or resulting from said activities, we authorize any of the coaches or staff to authorize any licensed physician or surgeon to administer such emergency medical attention. We further waive any claim, demand, cause or action or assertion of liability against WCFA, it's officers, coaches, facilitators, sponsors, and staff, because of the administration of emergency medical attention. I also agree to conform and follow all WCFA rules and regulations and acknowledge that any violation of the rules and regulation may result in our expulsion from WCFA. I also give West Coast Football Association (also known as WCFA) permission to publish in print, electronic, or video format the likeness or image of my child. I release all claims against the Association with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

Please select I agree: *

I agree (player)

Parents Initials: *

How did you hear about us?:

This on line registration will still require parents to fill out the player contract/code of conduct form. We will require the follow forms: Current Physical good thru December 2014, Original Report Card or Grade Level verification letter, Copy of Medical Insurance card, current Player picture, and if you are in the 6th Grade we will need an original birth certificate. Players turning 13 years or older before or during the season will not be eligible to enroll. After your form has been submitted, you will be directed to Pay Pal for payment (payment must be made in order to secure your enrollment). Enter information requested then click on "PAY NOW" button. Click on the "Pay with Debit or Credit Card, Bill Me Later" option to pay, then enter credit card information. Pay Pal is a secured website for online payments. We will not guarantee a spot if payment is not made. If you would like to make a cash payment instead please email us for dates and times to come in the office. Thank you for your co-operation. No Refunds for voluntary or exit of this enrollment.