Please print Cheerleader Full name: Date of Birth: / / Grade in fall 2017: School District: Physical Address: Street Apt# City: State: Zip:
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- Liliana Armstrong
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1 Please print Cheerleader Full name: Date of Birth: / / Grade in fall 2017: School District: Physical Address: Street Apt# City: State: Zip: Check one: first year? Previous division (circle one): MM JPW PW JM M Parent#1 Full name: Phone: Address if different from child: DJT communicates via to use Alt Parent#2 Full name: Phone: Address if different from child: DJT communicates via to use Alt Registration cost $300 (initial) All fees must be paid in full on or before May 8 th, 2017 (cheer fitting). (initial) I understand that once uniforms are ordered my $300 is non-refundable. Refunds are only approved by the president or treasurer. (initial) I have received, agree and will abide by the Parent/Player contract. (Initial) I/We GRANT permission for this participants photo/image and name to be published on the Durham Jr. Trojan public internet site, in the season program and for other promotional league purposes. (initial) I/We DO NOT GRANT permission for this player s photo/image to be published on the Durham Jr. Trojan public internet site, in the season program and for other promotional league purposes. Parent Signature: Relationship to participant: Date: 1 P a g e 2017 Season
2 Parent Work Bond Commitment The Durham Jr. Trojans ( DJT ) require that each family donate a minimum of 10 volunteer hours per child or 15 hours for families who have multiple kids in the program. I understand that if I choose to not volunteer my time I have the option to buy out my volunteer hours for $ This decision must be made by the Mandatory Parent meeting on April 23, 2017 and paid in full at that time. There will be a sign-up sheet at the mandatory parent meeting with the available volunteer slots for home games and away games. All volunteers must comply with the rules as set forth in the 2017 Norcal Fed rule book. Once you have signed up for a slot you will be expected to be there. If you are not able to work, it will be up to you to find a substitute and to inform the Volunteer Coordinator with the changes in order to have your substitute s hours counted. Any volunteer hours credited to your child must be approved and assigned by the Volunteer Coordinator. Any hours not approved or assigned by the volunteer coordinator may not be counted toward your hours worked. If you do not work your assigned hours over the season, we will be forced to send out a bill for $ or $20.00 per hour to cover the cost of a paid replacement. Your child will not be eligible to sign up for the next season until your bill is paid in full. It is our goal to keep Durham Junior Trojan costs to a minimum and, with parents volunteers, we believe we can do this. In order for our organization to be successful we must have 100% parent support and involvement. I have read the above information and fully understand and agree to volunteer at least 10 hours during the football season if I have an individual child or 15 hours if I have more than one child in the program. If I do not, I understand I will be receiving a bill for the hours not worked and my child will not be able to sign up for the following season. As a volunteer, I agree to comply with the rules as set forth in the 2017 Norcal Fed rule book. I will perform my parent volunteer hours I will buy out my hours for $200 Signature Date For DJT official use only: Amount Paid Method Date 2 P a g e 2017 Season
3 Cheerleader Emergency Information To help ensure the safety and well being of each Football Player/Cheerleader, the following information must be accurate and updated throughout the season if necessary. Child s Name: Please write none or n/a on the first line of each response if the question does not apply to the participant. For any question left blank, none or n/a will be assumed. Does the above named participant have any medical conditions of which the coach should be aware? These may include, but are not limited to, allergies, asthma, seizure disorders, and diabetes. If yes, please state: Does the above named participant take any medication? If yes, please state: Medication: Dose: Does the above named participant carry an asthma inhaler, epinephrine pen or other medical emergency device? If yes, please state: If you answered yes to the above question, it is the parent s/guardian s responsibility to be sure that all devices are in proper working condition and are made available for use during all practices and all games. Emergency Phone Numbers: Name: Phone: Cell: Name: Phone: Cell: Parent/Guardian s Name (printed): Parent/Guardian s Signature: 3 P a g e 2017 Season
4 DURHAM JUNIOR TROJANS PLAYER / PARENT CONTRACT 2017 Welcome to Durham Junior Trojans (commonly referred to as DJT or Jr. Trojans). Our organization places great importance upon helping young people by involving them in an athletic program that builds character, self-esteem, and emphasizes teamwork. Discipline, hard work, and cooperation act as the cornerstone of this effort. In that vein, we have developed these standards by which we expect each player and parent to abide by. CHEERLEADER S NAME: (Please print name) PLAYER SECTION: 1. I understand that being a Jr. Trojan is a privilege, and I promise to uphold the high standards of Durham Junior Trojans Youth Football & Cheer Organization (herein referred to as DJT ). 2. I agree to follow the instructions of the Coaches and Executive Board Members of DJT without dissent. 3. I agree to comply with the rules as set forth in the 2017 Norcal Fed rule book. 4. I understand that disruptive behavior and failure to follow instructions are grounds for dismissal from the program. 5. I agree to attend all scheduled practices and games. If I am unable to attend, my parents/guardians or I will contact my Head Coach and/or Team Mom no later than 30 minutes prior to a scheduled practice and/or game/scrimmage time. 6. I agree to encourage my teammate s efforts. I also agree NOT to criticize their mistakes. The later may be grounds for my removal (either temporary or permanent) from the team. 7. I agree to take GOOD care of the cheerleading equipment and/or gear that is checked out to me. I understand that I am responsible for the loss or damage, due to my misuse or abuse of the equipment and/or gear. I further agree to return all equipment and gear issued to me by DJT on or before the designated equipment return date(s), at the conclusion of the season for which this contract is applicable. 8. I agree to work hard in school and complete all my homework in an effort to maintain good grades. School comes before DJT and any disciplinary action from school will result in discipline from DJT. Suspension from school will result in suspension from practice and/or play and will run concurrently with any school suspension. I further understand that any use or possession of tobacco, alcohol, or drugs, on or off the field, will be grounds for immediate dismissal from DJT. PARENT SECTION: 1. MANDATORY PARENT ORIENTATION MEETING: I understand that one or more parent/guardian is REQUIRED to attend the DJT MANDATORY PARENT ORIENTATION MEETING scheduled in April 23, (Location: Durham Memorial Hall, 9313 Midway). Note: Players/cheerleaders are welcome to attend! 2. I understand that my child is part of a unique program and that every effort will be made to physically prepare them for the demands of cheerleading. I promise to support the Coaches and Board of Directors in this effort. 3. I understand that NO PLAYER WILL BE ALLOWED ONTO THE PRACTICE FIELD UNTIL THEIR PLAYER FILE IS DEEMED COMPLETE BY THE TEAM MOM. I also understand that should my child be restricted from entering the practice field due to an incomplete player file (and/or any other reason), it WILL affect their Conditioning Week hours (requirements set forth by Norcal Fed), and it WILL delay their ability to have gear issued to them. 4. I will take my turn supplying the squad with snack and drinks for games, as requested by Team Mom. 4 P a g e 2017 Season
5 5. PRACTICES: a. I agree to have my child at all scheduled practices and games, on time, and with all the needed equipment, including water, unless excused by the Head Coach. If my child is unable to attend, I will contact the Head Coach and/or team mom NO LATER THAN 30 minutes prior to a scheduled practice and/or game/scrimmage time. b. PRACTICE SCHEDULE: Monday, July 24 th Thursday, July 27 th, 5:30-8:00 pm. This schedule will remain in effect Monday-Thursday until after Durham Unified school starts. c. REDUCED PRACTICE SCHEDULE: The 2 nd week of school at Durham Unified, DJT coaching staffs will begin following a reduced practice schedule. Reduced Practice Schedule: Tuesday Thursday: 5:30-7:30 pm d. I understand that at no time may I interfere with practice or be on the field and/or sidelines on game day (unless my volunteer position requires that I be present on the field). I further understand that my being on the field (including the sidelines) could result in our team being disqualified. e. I understand that the Coaches will make time to talk about any issues, Monday through Friday (not during practice), but not on game day or for 48 hours after the game. 6. EQUIPMENT/GEAR: a. I agree to take GOOD care of the cheerleading equipment that is checked out to my child(ren). I understand that I am financially responsible for any loss or damage due to my child(rens) misuse or abuse of the equipment. I further agree to return all equipment issued to my child(ren) by DJT on or before the designated equipment return date(s), at the conclusion of the season. b. I also agree to return my child(ren) s equipment in the same condition as it was issued to my child(ren). DJT WILL NOT ACCEPT ANY RETURNED EQUIPMENT THAT DOES NOT MEET THE GUIDELINES SET FORTH BY DJT s EQUIPMENT MANAGER (inquire with DJT Equipment Manager for further details). c. Cheerleading Gear Issued by DJT: i. Shirt (Does not need to be returned) ii. Briefs (Does not need to be returned) iii. Shoes (Does not need to be returned) iv. Skirt v. Shell vi. Bodyliner vii. Bow (1) viii.pom Poms d. Gear Participant is Responsible for Providing: i. Black shorts ii. Socks 7) VOLUNTEERING / FUNDRAISING (a) I understand that I will volunteer at a minimum of ten (10) hours per child or fifteen (15) for a family during DJT games in a single season. I also understand that it is my responsibility to seek out and sign up for my volunteer hours and responsibilities. b) VOLUNTEER BUY-OUT OPTION: I also understand that DJT has a Volunteer Hours Buy-Out Program in which I have the option of submitting a $200 payment (per every 10 hours required) to DJT in lieu of volunteering. I understand that should I choose to take advantage of this program, I am required to submit my payment to DJT NO LATER than the Parent meeting in April. NOTE: Program payments are to be made online unless other arrangements have been made with the Treasurer. c) I understand that volunteering for DJT, and participating in its fundraising program(s), is/are essential to the success of this League. I also understand that DJT needs additional support, above and beyond these minimum requirements, in order to continue being a successful 5 P a g e 2017 Season
6 program. I will make every effort possible to support DJT in this and encourage other families to do the same. d) I understand that any conference with a Coach must be prearranged and will take place at the practice facility only, before or after practice, and never on game day or for 48 hours after a game. I understand that each of the individual teams Head Coaches will notify their team s parents (at the start of the season) of their availability for these pre-arranged parent/coach meetings. e) I understand that I have to participate in at least one of the DJT fundraisers. 8) I understand that open criticism of the program and/or the coaching staff will be grounds for immediate disqualification of my child from DJT. If a problem develops, let s talk about it. If for any reason I have an issue with one of my child s Coaches, I will first consult the Head Coach. If for any reason I have an issue with my child s Head Coach, I will first consult with one or more of DJT s Executive Board Members. 9) I hereby authorize the DJT organization to take pictures/videos of my child(ren) during scheduled events and post them on social media (DJT website, YouTube, etc.) for purposes of promoting my child s team and/or the DJT organization. If I do not wish to have my child s picture/video used for this purpose, I will provide written instruction stating so, to my child s Team Mom, NO later than the first day of Practice. 10) I understand that the DJT program has adopted a progressive reprimand process and that this process is meant to encourage Coaches, Board Members, parents, and any other adult involved in DJT, to participate harmoniously, according to the values that govern the DJT s program. This disciplinary process is typically a three step process; however, discipline is determined based on the severity of the infraction and may not follow any number of steps. (i) First infraction results in a verbal reminder. (ii) Second infraction results in a 1 week suspension. (iii) Third infraction results in exclusion from DJT activities. (11) I understand any conduct by a child that is deemed as a distraction or unsafe situation for the team or organization, witnessed by any Coach or Board Member, will result in the removal of that child from the practice or game and will be an unexcused absence. (12) I understand the DJT organization has embraced a NO TOLERANCE policy when addressing player and parent conduct concerning the safety and the well-being of every participant associated with the DJT family. Continued distractions and or unsafe conduct by any individual or group will result in board review and may ultimately result in expulsion, for that individual or group, from the organization. (13) All disciplinary matters will be reviewed and acted upon by the Executive Board. (14) We have read all the above information and fully understand this contract. (15) I agree to follow all rules and requirements in this contract, and in the 2017 Norcal Fed rule book, as well as, any additional instructions given to my child(ren) and/or myself by the coaching staff. (16) By accepting this document, and initialing on the registration form, I/we am/are agreeing that I/we understand the contract completely. 17) I understand that all Coaches, concession personnel and gate attendants are volunteers. I will not engage in disruptive, rude or combative behavior directed at the volunteers, other parents, visitors or game officials. I acknowledge that such behavior may result in my being 6 P a g e 2017 Season
7 asked to leave the premises. 18) School Suspension a) If for any reason my child is suspended, my child will not be able to practice for the length of the school suspension. Additionally, my child will LOOSE participation time, on game day, based upon the number of practice days missed while serving the suspension. By signing below, I agree to abide by the above listed standards of the DJT Youth Football Organization. I understand that they are NOT negotiable and MUST be adhered to, at all times, during the upcoming season. Player s Signature: Parent s Name: (Please Print) Parent s Signature: Date: Parent s Indicate Player s Division: ( ) Mighty Mite ( ) Jr. Pee Wee ( ) Pee Wee ( ) Jr. Midget ( ) Midget IMPORTANT REMINDER PLEASE MAKE A COPY OF THE SIGNED DOCUMENT FOR YOUR RECORDS. 7 P a g e 2017 Season
8 CHEERLEADER CONTRACT I,, agree to the following rules and guidelines: I understand I am responsible for maintaining my school/homework and must avoid disciplinary action that would result in suspension from school to remain on the squad. I will have a good attitude at all practices, games, camps, competitions or any other event where I represent the Durham Jr. Trojans. I will be respectful with my words and actions, especially to my teammates and Durham Jr. Trojan coaching staff. I understand that being late or absent from practices of games makes it difficult for my teammates and coaches to create a place for me in cheers/dances. I will be on time. I understand that coming unprepared to practice is a hardship on the entire squad. I will come prepared to practice/games, wearing approved practice clothing and athletic shoes (no thick soles or sandals). I will also bring my own water bottle, sunscreen, and bug spray to practice/games. I understand no jewelry (not even for newly pierced ears) is allowed during practice/games. For safety reasons, I will wear my hair off my neck and away from my face, as approved by my coach. I will save visiting and chatting for before and after practice/games, so I can focus on my coaches instruction and the football game. I understand that practice time is for cheerleaders only. I will not have friends, parents, siblings, etc. at practice, so I am able to focus my complete attention on my instructors/coaches. When at practices and games, I will give 100% effort. Full participation is required during the entire practice or game, unless I receive authorization from my coach to modify participation, ie. medical limitations. I will keep personal problems off the practice and game field. Conflict within a squad will be addressed for a resolution. If necessary, verbal or written warnings will be given. Serious conflicts will be addressed by my parents and my coach. Snacks will be eaten prior to/after practice/games. I understand at least 50% of my team needs to be cheering at games at all times. The buddy system will be utilized for bathroom or water breaks. Uniforms: I understand that DJT is the owner of the uniform provided to me. My parent is responsible to maintain like new condition except normal wear/tear. My parent is responsible for anything not returned in the same condition. Should I misplace any piece of the uniform provided to me I will pay full replacement cost including shipping. On game days I will wear my complete, clean uniform, including the safety-approved hairstyle. Minimal, natural make-up is allowed. I understand that I can only wear my uniform to games and cheerleading competitions. I will not wear my uniform to school, prior to the conclusion of the season except when preauthorized by Durham Jr. Trojans (ex: Spirit Fridays). 8 P a g e 2017 Season
9 o My uniform must be laundered/washed after each game. I understand that it is important for my uniform to look and smell clean. Except for normal wear, it should look like new at the end of the season. Shoes will be washed thoroughly and air-dried so no shrinking occurs. Absences: Excused absences are limited to illness, funerals, and academic school functions. It is difficult for coaches to choreograph routines with inconsistent attendance. Absences, aside from those listed above, may result in removal from specific dances/cheers, at the discretion of the coaching staff. o A written note/phone call/text from a parent to a coach is required for any absence. **Prior notification is courteous and necessary. If ill for more than 3 days, a doctor s note will be required. o I will sit out for one quarter of the football game following an unexcused absence. o Three (3) times tardy/late will equal one unexcused absence. If late to practice, I understand that I will still be required to warm-up for a min. of 15 mins. o I understand if I m late to a game I will still be required to warm-up for 15 mins. If the opposing team will allow a late check-in I will be allowed to cheer at the game. If not, I will sit out the entire game but remain with the squad. o Five (5) unexcused absences will result in a parent and child to appear before the Durham Jr. Trojan board with a written proposal for correction of behavior and my parent will be required to complete additional volunteer hours as determined by the board. I understand if I am asked to sit out during any portion of the football game, I must attend the game in uniform, sit with my coaching staff, and support the rest of the cheerleading squad. o Warnings: I understand if I do not abide by the above guidelines I will receive a verbal warning. If necessary, a second warning will be submitted in writing. After the written warning, a conference will be required between my coach, my parents, and me. Any additional warnings will require my parent(s) and I to appear before the Durham Jr. Trojan board in order to dispute the policy of dismissal for non-compliance to the above cheer guidelines. I agree to the rules and guidelines outlined in the Durham Jr. Trojan Cheer Contract. Cheerleader: Date: Parent/Guardian: Date: 9 P a g e 2017 Season
10 CHEERLEADER S NAME NORCAL FEDERATION FOOTBALL NOTICE TO PLAYERS & PARENTS SECTION I Norcal Federation Football League will not be responsible for unsupervised players or Cheerleaders, neither before or after a scheduled game, practice or event. Norcal Federation Football is not responsible for players or cheerleaders if they show up more than one hour prior to game time, or more than 15 minutes prior to practice, nor after a sponsored activity is over. SECTION II As a parent or guardian, if I am called upon or volunteer to transport any participants, including players, cheerleaders or volunteer workers by motor vehicle, I realize Norcal Federation Football does not have Liability Insurance relating to transportation coverage, therefore, there would be NO COVERAGE BY NORCAL FEDERATION YOUTH FOOTBALL. I FURTHER RELIEVE Norcal Federation Football of all liabilities arising out of the use of an automobile and will be fully responsible for any lawsuits arising out of the use of an automobile involving a Norcal Federation Football Function. SECTION III Norcal Federation Football has a Medical Accident policy which is SECONDARY COVERAGE for injury to your child; COVERAGE MAXIMUM IS ONE HUNDRED THOUSAND DOLLARS. YOUR MEDICAL INSURANCE AND/OR MEDI-CAL IS PRIMARY COVERAGE. Norcal Federation Football s Accidental Medical Coverage has a $ (One Hundred dollar deductible). Please initial one of the following: MY MEDICAL INSURANCE COMPANY POLICY NUMBER OR I CURRENTLY HAVE NO INSURANCE COVERAGE This form will not be accepted unless the name and policy number is filled in. If you do not have medical insurance and/or Medi-cal, please indicate. YOUR CHILD WILL NOT BE ALLOWED ON THE FIELD FOR PRACTICE UNTIL THIS FORM IS COMPLETED AND SIGNED. I have read and understand that Norcal Federation Football League is not responsible for the Liability or Injury to my child under any circumstances other than Norcal Federation Football League sanctioned and scheduled events and the above Guide lines will apply in all cases. SECTION IV I am the parent and/or Legal Guardian of (player). In case of any medical emergency, I hereby authorize a representative of Norcal Federation Football to seek Medical Assistance for my child. I also understand that my child s participation in youth football or cheerleading is purely voluntary and I agree to hold NorCalFed harmless for any and all liability for any injuries including death which my child may sustain while participating in this activity. Signature of Parent or Guardian 10 P a g e 2017 Season
11 Parental / Guardian Permission and Waiver Participant Name 1. PERMISSION TO PARTICIPATE: I, the parent/guardian of the above-named participant hereby acknowledge that my child is in good general health and I give my approval for my child to participate in any and all NORCALFED national, regional, league/conference, association and team/squad activities. NORCALFED will not be responsible for unsupervised players or cheerleaders, neither before nor after a scheduled game, practice or event. NORCALFED is not responsible for players or cheerleaders if they show up more than one hour prior to game time, or more than 15 minutes prior to practice, nor after a sponsored activity is over. 2. INTENT TO INFORM: I acknowledge that I am fully aware of the potential dangers of participation in any sport and I fully understand that participation in football, cheerleading and/ or dance may result in SERIOUS INJURIES, PARALYSIS, and PERMANENT DISABILITY AND/OR DEATH. Furthermore, I fully acknowledge and understand that protective equipment does not prevent all participant injuries, and therefore I do hereby waive, release, absolve, indemnify, and agree to hold harmless the local, league and regional NORCALFED organization(s), and any and all organizers, sponsors, supervisors, participants, and persons transporting the above named participant to and from activities, from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause. 3. EMERGENCY MEDICAL AUTHORIZATION: I hereby grant my permission for any and all emergency medical/dental treatment and/or first aid to be administered to my child/participant, including authorizing any medical treatment facility/hospital to administer emergency treatment, for any illness/injury/accident resulting from participation in any and all NORCALFED activities. 4. EQUIPMENT RESPONSIBILITY: I agree to assume full responsibility for any and all equipment/uniforms loaned to the above named participant and I agree to promptly return, upon request, the uniform and other equipment issued to the above named participant in as good condition as when received except for normal wear and tear. If I fail to adhere to this policy, I will be responsible for the replacement cost of such equipment. 5. INSURANCE DISCLOSURE: I am aware that my local NORCALFED organization carries group accident insurance which is considered secondary or excess for medical purposes to any and all valid insurance I possess is considered primary insurance. Furthermore, I agree to notify in writing my head coach and local NORCALFED organization of any medical claim as a result of participation in NORCALFED as soon as reasonably possible. I/We understand that any registration fee paid does not constitute a direct premium for insurance and that a deductible(s) may apply. I/We understand that NORCALFED is not responsible for the liability and injury to my child under any circumstances unless injury occurred at a NORCALFED sanctioned and scheduled event. I/We realize that if called upon to volunteer to transport any NORCALFED players, cheerleaders, and participants, NORCALFED does not carry liability insurance relating to transportation coverage, therefore, there would be NO COVERAGE BY NORCALFED. I/We further relieve NORCALFED of all liabilities arising out of the use of an automobile involving any NORCALFED function. 6. FINANCIAL RESPONSIBILITY: I hereby stipulate that I have been advised by the local NORCALFED Organization of my rights, if any, to a refund in accordance with the local organization policies, and I have also been advised of my fundraising obligations for the entire season and agree to fully comply with those obligations. 7. COMMUNICATION AND PROMOTIONAL CONSENT: As a condition to my child s participation, I hereby consent to receive communications via and mail from NORCALFED and its partners. I understand that NORCALFED does not sell its contact lists and communications sent may contain program information as well as special offers and may be opted out of by following the instructions in the or via written request to NORCALFED. Furthermore, I hereby grant to NORCALFED the absolute right and permission to make, reproduce, broadcast or otherwise use participant s name and likeness, any photograph, films, videos, recordings, or other depictions or images in whatever form or media in connection with participation in NORCALFED throughout the universe in perpetuity and in any and all advertising and promotion materials, in any manner or media whatsoever for purposes of art, advertising, editorial, trade or promotion or any other purpose whatsoever. To the extent that any benefit accrues or may accrue to NORCALFED, I hereby and forever waive any interest in or claim to such benefits and acknowledge that NORCALFED is under no obligation to exercise any rights granted herein. 8. ADULT CODE OF CONDUCT: S1: In order to uphold the goals of NORCALFED and ensure that all participants have the benefit of a safe and fun learning environment, all parents, guardians and other adults and attendees of NORCALFED events, including but not limited to practices, competitions, and banquets, must behave accordingly in a respectful, courteous and sportsmanlike manner at all times. S2: Any adult who is using alcohol, tobacco or non-prescription drugs and/or appears intoxicated at a NORCALFED event, and/or who is flagrantly rude, attempts to intimidate, verbally abuse, heckles, taunts, ridicules, boos, throws objects and/or uses vulgarity or profane language/gestures with an official, coach, volunteer, staff member, participant or other event attendee, must receive a verbal warning and/or be asked to leave a NORCALFED event. The member organization may also provide a written warning to the individual regarding the misbehavior. The adult s children may also be removed from the event. Any adult who commits one of the above stated offenses a second time, will be banned from any and all NORCALFED events for a period of one year from the date of the second offense, and their children may also be removed from the program(s) for that time period. S3: Any adult who physically assaults an official, coach, volunteer, staff member or participant or threatens grave bodily harm may be banned from any and all NORCALFED events for one year from the date of the offense, and their children may also be removed from any and all NORCALFED programs for that same period of time. After the ban has expired, if the individual commits another offense of the adult code of conduct, the individual will be permanently banned from any and all NORCALFED events and the individual s children may also be permanently removed from any and all NORCALFED programs. 9. ADHERENCE TO NORCALFED RULES AND PROCEDURES: I hereby understand and acknowledge that as a parent/guardian of a NORCALFED participant it is my responsibility to comply with all rules and regulations stipulated, adopted or recognized by NORCALFED or any of its member organizations and understand that any 11 P a g e 2017 Season
12 noncompliance with any and all rules and regulations may be cause for discipline and/or dismissal of the participant, myself, and/or any spectators or other persons affiliated with the undersigned and the above named participant. I further understand that the participant must meet NORCALFED age and/or weight requirements on their official certification date as established by NORCALFED without exception and that the decision of the Weigh Master is final. I agree to furnish a copy of a birth certificate of the above-named participant to local NORCALFED officials and understand that valid proof of age, a current year s signed medical release, participant contract and parental consent, and scholastic fitness forms must be presented by date of certification in order to participate further in NORCALFED activities. 10. DISPUTE RESOLUTION POLICY: I hereby understand and acknowledge that all civil disputes between NORCALFED and any and all affiliated parties will be subject to binding arbitration in the locale of NORCALFED in Oroville, CA in accordance with California law under the guidelines and rules of the American Arbitration Association. I hereby agree that this binding arbitration shall be in lieu of any litigation by and between myself,, NORCALFED and any and all affiliated parties. I also understand and agree that if I contest any decision or ruling of NORCALFED and seek other recourse, that I will reimburse NORCALFED for all legal fees and expenses it reasonably incurs. If any portion of this form shall be deemed unenforceable or invalid, the reminder shall remain in full force and effect. RULES & REGULATIONS - By my signature below, I hereby stipulate that I have read, fully understand and voluntarily agree to all of the above: Signature of Parent/Guardian Print Full Legal Name Date Signature of Participant Print Full Legal Name Date 12 P a g e 2017 Season
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