Thank You for Registering for Youth Football | Lee County Recreation Department

Thank you for making your payment for Youth Football.

Step 2 is to complete the form below for EACH child. (After submission, you’ll be taken to a page that will allow you to come back here.)

Children are NOT considered registered until we have received the payment and this form.

Email Address of Parent *

Name of Child *

Age (as of September of current year) *

Birthdate *

Mother's Name *

Mother's Phone Number *

Father's Name *

Father's Phone Number *

Mailing address*

Name of school participant attends*

Number of Years Played *

Jersey Size *

Weight *

Do you want to coach? *

I Fully Acknowlege Receipt of Risk Information Below *

I/We the parents of the above named boy or girl, hereby give my/our approval for his/her participation in activities during the current season. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from activities. I/We do further hereby release, absolve, indemnify and hold harmless the Lee County Parks & Recreation Department, the organizers of my/our son or daughter’s activity. I/We hereby waive all claims against the organizers, the sponsors or any of the supervisors appointed by them. I/We likewise release from responsibility any person transporting my/our son or daughter to or from the activity. I/We hereby accept responsibility for any equipment issued to my son or daughter as to damage. Parents shall be responsible for the cost of the equipment not returned to the Recreation Department. I/We, the parents of the above named child hereby give my/our permission to the person in charge of the activity to take my/our son or daughter to the doctor or hospital in case of injury. I am aware that if my child plays on a school basketball team, he/she cannot play all-stars.