REGISTRATION PACKET by wuzhengqin

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									              REGISTRATION PACKET


**Please review the deadlines included in this packet for all
forms, documents, and fees associated with participation in
the 2011 Wild West Gridiron Showdown.

***Also, please review and note the forms and documents
that will require notarization.




  Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
             602-292-2091 – www.wildwestgridironshowdown.com –
                   james@wildwestgridironshowdown.com
 The 2011 Wild West Gridiron Showdown Registration Packet includes all the
required documents, forms, and fees required to participate. Please be advised
                 of the following important information:


    The Wild West Gridiron Showdown has a no refund policy.
    All fees must be paid in the form of cash, money order or credit card.
    The Player Registration Fee is $50.00.
    The Cheer Registration Fee is $25.00.
    No roster changes/corrections/additions are allowed after November 1,
     2011, under any circumstances.
    Parents do not need to be present for team check‐in. All documents must
     be submitted by the deadlines.
    Football player birth certificates must be submitted at check in and may
     be required before games.
    Showdown game schedules will be distributed at team check‐in. Please be
     advised that Showdown game schedules are subject to change.
    Players must have their own equipment to participate. This includes
     mouthpieces attached to the helmet facemask and compression shorts.
     No steel tipped cleats allowed.
    Game date and time requests will not be accepted.

If there are any questions, problems, or emergencies, please contact the Wild West
Gridiron Showdown at 602‐292‐2091 or James@wildwestgridironshowdown.com.




   Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
              602-292-2091 – www.wildwestgridironshowdown.com –
                      james@wildwestgridironshowdown.com
                 2011 WILD WEST GRIDIRON
                  SHOWDOWN CHECKLIST
*This checklist is solely for the use of the Head Coach/Trip Manager. It is not a document that needs to be
submitted to the Wild West Gridiron Showdown.


     SHOWDOWN PAPERWORK
             o   Registration Form (due 10‐15‐11) _____
             o   Waiver of Liabilities (Team/Players) (due 11‐1‐11) ______
             o   Acceptance of Responsibility Form (due 11-1-11) ______
             o   Rule Compliance Form (due 11‐1‐11) _____
             o   Team Coach List (due 11‐1‐11) _____
             o   Team Player List (due 11‐1‐11) _____
             o Team Cheerleader List (due 11-1-11) _____


     PAPERWORK PROVIDED BY TEAM
             o Official Team Roster (due 10‐15‐11) _____
             o Team /League Insurance (due 11‐1‐11) _____


     SHOWDOWN FEES
             o Showdown Fee ($300.00) (due 10‐15‐11) _____
             o Cheer Fee ($150.00) (due 10-15-11)_____
             o Coach’s Fee (due 11‐1‐11) _____( _____ @ $25.00 each=_____)
             o Player Fees (due 11‐1‐11) _____( _____ @ $50.00 each=_____)
             o Cheerleader Fees (due 11-1-11)______(_______@$25.00 each=______)

*All fees should be made payable to Dawgs Investments Inc. in the form of cash, money order,
bank draft or credit card and sent to 2985 East Linda Lane Gilbert, Arizona 85234.

    Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
               602-292-2091 – www.wildwestgridironshowdown.com –
                             james@wildwestgridironshowdown.com
                              2011 WILD WEST GRIDIRON SHOWDOWN
                              FOOTBALL TEAM REGISTRATION FORM
                                                                    (Please Print)
                                                                            League Name:
Team Name:
                                                       HEAD COACH INFORMATION
Head Coach (First Name, Last Name):

Street address:                                    City, State, Zip                                    Home Phone (           )

Work Phone (          )                   Cell Phone (        )              Email Address:



                                                 TEAM/TRIP MANAGER INFORMATION
Head Coach (First Name, Last Name):

Street address:                                    City, State, Zip                                    Home Phone
                                                                                                       (  )

Cell Phone                                                                   Email Address:
(      )
                                                            LEAGUE INFORMATION
League Commissioner (First Name, Last Name):                                 Work Phone
                                                                             (   )
Email Address:

Insurance Carrier/Policy Number:

                                                              TEAM INFORMATION
Primary Jersey Color:                 Jersey Accent Color:                   Primary Pants/Accent Color:            Helmet Color:

League Division:          Mighty Mite  Junior Pee Wee  Pee Wee                         Junior Midget  Midget/8th Grade Unlimited 

Unlimited Weight:            4th Grade         5th Grade           6th Grade             7th Grade 
                                                              REGISTRATION FEE
I have enclosed the Team registration Fee (payable to Wild West Gridiron Showdown in the form of cash, money order or credit card) as
indicated below to enter the 2011 Wild West Gridiron Showdown. I understand that this registration fee is completely NON-
REFUNDABLE if my football team is accepted to attend. I agree to pay the player’s fee ($50.00 per player) and coach’s fees ($25.00
per Coach) by November 1, 2011. These player and coach’s fees include a t-shirt, patch and medal for each paid participant. I
understand that all payments must be made in the form of a check, money order, or credit card draft made payable to Wild West
Gridiron Showdown).
$300.00 per Football Team                 $50.00 per Player Registration Fee        $25.00 per Coach Registration Fee

$300 Per Cheer Team                                $25.00 per Cheerleader
$ _________ TOTAL Team Fees                       $ ________TOTAL $50.00 Player Fees Included
Included                                          $ _______ TOTAL $25.00 Player Fees Included                $ _________ TOTAL Coach Fees Included

$ _______TOTAL AMOUNT ENCLOSED

Person submitting form (Print Name): ____________________________________________________________________

Person submitting form (Signature): _____________________________________________________________________
In submitting this registration form & fee, our team agrees to all items outlined in the Wild West Gridiron Showdown Registration Packet. Further details
regarding the Registration Packet are located on the Showdown Website: www.wildwestgridironshowdown.com. After your registration is accepted, your
Head Coach/Team Trip Manager will receive an email and written confirmation and can then download all event materials.

*All fees should be made payable to Dawgs Investments Inc. in the form of cash, money order,
bank draft or credit card and sent to 2985 East Linda Lane Gilbert, Arizona 85234.

     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                                       james@wildwestgridironshowdown.com
              Player/Cheerleader Wild West Gridiron Showdown Waiver and Release of Liability

                                                       *READ BEFORE SIGNING*
In consideration of being allowed to participate in any way in the 2011 Wild West Gridiron Showdown athletic sports program, related events
and activities, the undersigned acknowledges, appreciates and agrees that:
  The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and
while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,
  I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES
or others , and assume full responsibility for my participation; and,
  I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant
hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official
immediately; and,
  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS, Wild West
Gridiron Showdown, their officer s, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if
applicable, owners and lessors of premised used to conduct the event (“RELEASES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY,
DEATH, or less or damage to person or property, WHETHER A RISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
  I understand that IF ANY games are cancelled by the City of Glendale due to an Act of God (i.e., rain, flood, lighting, wind storm, etc.) I will not
hold Wild West Gridiron Showdown liable for any cost associated with the loss of games. I further understand that there are no refunds
whatsoever. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up
substantial rights, by signing it, and sign it freely and voluntarily without any inducement.
!is is to certify that I, as parent/guardian with legal responsibility for this participant do consent and agree to his/her release as provided above,
of all Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any
and all liabilities incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR
NEGLIGENCE.                                                                         Please list in alphabetical order.
   PLAYER/CHEERLEADER                                PRINTED                          PARENT/GUARDIAN                 DATE OF SIGNATURE
                NAME                      PARENT/GUARDIAN NAME                             SIGNATURE




     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                                      james@wildwestgridironshowdown.com
                                        ACCEPTANCE OF RESPONSIBILITY


I, as the authorized representative of the youth football organization participating in the 2011 Wild West Gridiron
Showdown (hereafter referred to as “Showdown”), under the name of _________________________________
from the City of _______________________________ and the State of_______ do hereby accept full legal
responsibility for participation by all minors associated with this youth football team/cheer squad, while being
transported to, from or in attendance at any 2011 Showdown event. I certify that I have obtained parental or legal
guardian permission for each minor traveling with the football team/cheer squad noted above , as well as making
each minor’s parent/guardian legally responsible for actions that their child may undertake during any 2011
Showdown events. I agree to hold harmless the Showdown, its directors, officers, employees, officials, judges,
security, EMT’s, sponsors and Showdown contracted hotels, their officers, agents, service contractors,
concessionaries and employees and the City of Gilbert, their officials, agents, employees, while acting in the scope
of their duties relating to the Showdown, for any accidents, illnesses, or injuries to any football player,
cheerleader, coach, parent, or other adults or children associated with the football team/cheer squatted noted
above while traveling to, from or while attending any 2011 Showdown event. I accept full responsibility on behalf
of all football players, cheerleaders, coaches, parents, or other adults or children associated with this football team
for payment to the hotel(s) where the football team/cheer squad named above will be lodged for services
provided during the Showdown. I assume all financial responsibility arising from any the@ or damage caused by
any member of the football team/cheer squad named above to any
Showdown property, City of Gilbert property or hotel property, and long distance telephone charges, restaurant
charges, and miscellaneous charges billed to rooms occupied by any member of the football team/cheer squad
named above.
Should it become necessary, I agree to assist the Showdown in contact persons associated with the football
team/cheer squad named above, whether before, during or after the event. As the authorized representative of
the football team/cheer squad named above, I hereby state that all persons attending any Showdown event have
been made aware of the risks and dangers of competing in full contact football. By attending any Showdown
event, all persons affiliated with my team agree to accept these risks and dangers and agree to hold harmless the
Showdown, its directors, officers, employees, officials, judges, security, EMT’s, sponsors and Showdown contracted
hotels, the City of Gilbert, their officials, agents, service contractors and employees acting in their scope of their
duties relating to the Showdown for any injury or illness to any football player, cheerleader, coach, parent, or
other adults or children associated with the football team/cheer squad named above and in attendance at any
2011 Showdown event.

                                         THIS FORM MUST BE NOTARIZED.
_______________________________________________________ _______________________________
Head Coach/Trip Manager Printed Name Head Coach/Trip Manager Signature
Date: ________________ Contact Number: ___________________________ Email: _________________________________
Subscribed and Sworn to before me this ______________ day of ____________________of the year ____________________
_________________________________________________ ________________________________________
Notary Republic My Commission Expires




    Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
               602-292-2091 – www.wildwestgridironshowdown.com –
                              james@wildwestgridironshowdown.com
        2011 WILD WEST GRIDIRON SHOWDOWN CODE OF CONDUCT POLICY

In order to promote good sportsmanship, the Wild West Gridiron Showdown has created a code of conduct to ensure the
physical and emotional well‐being of all its participants and spectators. It is our goal to ensure that all participants and
spectators have an environment where respect, team play, and camaraderie exist. The Wild West Gridiron Showdown
understands the physical and aggressive nature of the sport and, as such, we understand the need for rules and control. As
parents and coaches, it is our responsibility to set an example for the participants and spectators. Therefore, all parents and
coaches are responsible to read and sign this code of Conduct and to adhere by it. All participants who are deemed to be in
violation of the Code of Conduct are subject to removal, suspension, and/or expulsion from the Wild West Gridiron Showdown.
Parents or Coaches who are found to be in violation may be barred from attending future games and/or forfeit their child’s
right to participate in the Showdown. Such offenses that may warrant suspension or expulsion are as follows:
1. Verbal or physical abuse towards a game official, coach, Showdown staff, security, EMT, player, or spectator including but not
limited to swearing, obscene gestures, violence, and other aggressive/inappropriate behavior.
2. Gross misconduct, including but not limited to fighting with an opposing player on or about the playing fields of the Wild
West Gridiron Showdown.
3. Intentional acts that could result in bodily injury or emotional harm to any participate or spectator located on the premises of
the Wild West Gridiron Showdown. Coaches will be responsible for routine discipline of minor infractions as they incur within
their own teams. Any infraction that cannot be controlled at the team level or at the coach’s request will be referred to the
Wild West Gridiron Showdown President for further action. The emotional and physical well‐being of the participants must be
placed ahead of the desire to win by all Coaches. Coaches are to lead by example in demonstrating fair play and sportsmanship
to their players. Swearing and excessive physical contact will not be tolerated and any complaints of such will be referred to the
Wild West Gridiron Showdown for further action. Parents and spectators must express positive enthusiasm during all games.
Any negative expressions such as jeering, booing, name calling, etc. will be considered in violation of the Wild West Gridiron
Showdown Code of Conduct. Furthermore, parents/spectators are not allowed to approach coaches during or immediately
after a game with any questions/complaints regarding playing time, game strategy, participant positions, etc. These matters
should be discussed at a later time as a private conversation. It is the goal of the Wild West Gridiron Showdown to improve the
development of its participants. Our emphasis at the Wild West Gridiron Showdown is the participants who choose to partake
in the Showdown. The above guidelines are set as a reminder that as parents and coaches to be the models for the participants
and spectators to emulate.
I/(Head Coach/Trip Manager) _______________________________ have read and understand the Wild West Gridiron
Showdown Code of Conduct and by signing below, I agree to explain in details on behalf of my team, team parents, other family
members and anyone affiliated with my team and, agree to abide by the contents of its policy.


_______________________________________________ _______________________________________
Printed Name (Head Coach/Trip Manager) Signature of Head Coach/Trip Manager
Date: ____/_____/______
                                            THIS FORM MUST BE NOTARIZED.


Subscribed and Sworn to before me this ______________ day of ____________________of the year ____________________
_________________________________________________ ________________________________________


Notary Republic                                                           My Commission Expires




     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                                 james@wildwestgridironshowdown.com
   2011 THE WILD WEST GRIDIRON SHOWDOWN RULE BOOK

This rule book contains the forms, rules and procedures which must be adhered to by teams participating in the
2011 Wild West Gridiron Showdown (hereafter referred to as “Showdown”). The Showdown will be played under
the National Federation of State High School Associations (NFHS) guidelines. NFHS and Showdown Rules are for
game competition. Your league may have rules regarding post‐season competition which may or may not be
superseded by NFHS or Showdown Rules. The Head Coach of each team participating in the Showdown is
ultimately responsible for all documents, finances, and participant conduct (including participants, parents,
spectators, etc.) attending the Showdown. The Head Coach may assign a Team Manager to assist with the
coordination, communications, and record keeping of your team. However, having a Team Manager does not
relieve the Head Coach as the final responsible party. We expect a large number of teams/cheerleaders to
participate in the Showdown. Due to the large number of players, cheerleaders, coaches and parents expected to
attend, we must limit the authority to contact the Showdown to ONLY Head Coaches and/or the Team Manager.
The Showdown will not accept phone calls from Parents. Parents must contact the Head Coach/Team Manager,
who in turn may contact the Showdown for additional information. Please be reminded select documents
submitted to the Showdown must be notarized. This includes your league Roster. Failure to have the Showdown
documents notarized will prevent your team’s acceptance into the Showdown. All team documents must be
returned to the Wild West Gridiron Showdown no later than November 1, 2011.
              Acceptance Of Wild West Gridiron Showdown Rules, Terms, and Conditions
I have read and understand the rules and terms of the Wild West Gridiron Showdown regarding my/our team’s
participating in the Showdown. I/we understand that all teams participating in the Showdown must arrive in
Phoenix, Arizona by Wednesday, November 22, 2011. I/we also understand that failure to arrive in sufficient time
to allow the Showdown administrators to verify player ages, weight, and team documentation may result in the
team’s disqualification from the Showdown. I understand that the Wild West Gridiron Showdown begins on
November 24, 2011 and will end November 26, 2011. I/we have discussed the rules and expectations of proper
conduct with all team associated members at the Showdown, including but not limited to Coaches, Players,
Parents, and team spectators/representatives. All persons representing my/our team understand, accept, and will
abide by the 2011 Wild West Gridiron Showdown rules.
______________________________________ ___________________________________________
___/____/____
Head Coach Printed Name Head Coach Signature Date
                                    THIS FORM MUST BE NOTARIZED.
Notarized:
State: ______________________
County: ____________________
The terms of this document were acknowledged before me on __________________________ by
____________________________.
______________________________________
Signature of Notary




    Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
               602-292-2091 – www.wildwestgridironshowdown.com –
                             james@wildwestgridironshowdown.com
                        2011 WILD WEST GRIDIRON SHOWDOWN
                              FOOTBALL COACHES LIST


TEAM NAME: _____________________________ CITY: ____________________________________ STATE: _________________



*All Coaches participating in the 2011 Wild West Gridiron Showdown must be listed below.
**A maximum of 8 coaches are allowed on the sidelines per team.
** *All Coaches with the exception of the Trip/Business Manager listed below must have paid
the participant fee of $25.00.

COACH NAME                               TEAM POSITION                            SHIRT SIZE
1.

2.

3.

4.

5.

6.

7.

8.




TRIP/BUSINESS MANAGER NAME               TEAM POSITION                            SHIRT SIZE
                                         Trip/Business Manager




     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                               james@wildwestgridironshowdown.com
                   2011 WILD WEST GRIDIRON SHOWDOWN
                           FOOTBALL PLAYER LIST
TEAM NAME: _____________________________ CITY: ____________________________________ STATE: _________________

HEAD COACH NAME: _______________________________________________


*All Players participating in the 2011 Wild West Gridiron Showdown must be listed below.
** All Players listed below must have paid the participant fee of $50.00.
***Please weigh each player for an accurate weight before submitting this form.
****Please note a Youth or Adult and the size (S, M, L, XL, etc.) in the shirt size column.

Player Name (Last, First)   Shirt Size    Birth Date   Estimated Weight on 11/23/11   Roster/Added Player
                                         (MM/DD/YY)
1

2
3
4
5
6
7
8
9
10
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     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                                james@wildwestgridironshowdown.com
                   2011 WILD WEST GRIDIRON SHOWDOWN
                            CHEERLEADER LIST

TEAM NAME: _____________________________ CITY: ____________________________________ STATE: _________________

HEAD COACH NAME: _______________________________________________


*All Cheerleaders participating in the 2011 Wild West Gridiron Showdown must be listed below.
** All Cheerleaders listed below must have paid the participant fee of $25.00.
****Please note a Youth or Adult and the size (S, M, L, XL, etc.) in the shirt size column.

             Cheerleader Name (Last, First)                          Shirt Size

1

2
3
4
5
6
7
8
9
10
11
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     Wild West Gridiron Showdown – 2985 East Linda Lane Gilbert Arizona 85234
                602-292-2091 – www.wildwestgridironshowdown.com –
                               james@wildwestgridironshowdown.com

								
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