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2012 Football Season - LeagueLineup.com

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					                   EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                       91-1040 Kuhina St.
                                       Ewa Beach, HI 96706
                                www.leaguelineup.com/ewabeachcrush
       Dear Parents and Players,

        Welcome to the Ewa Beach Crush Youth Football League. This packet is for all
participants in our 2012 Football Season. We look forward to having you and your child
participate in our program.

        Attached to this welcome packet we have important papers for you to read, and fill out.
Please take time to look through the paper work and be sure you understand everything before
turning it in. If you have any questions you may contact, Lola Tripp President of Crush Football.
        This Packet Includes the Following…..
              Parent Letter
              2012 Registration Form
              Emergency Form
              Physical Form


       Please remember to turn in an up to date physical form with the Dr.’s signature. It will
need to be turned in before the season begins.

        We are more excited this season then we were last season. The Board would like to again
thank you and your children for joining our 2011 Season. The Board cannot wait till we begin
this year. You may still keep current on our website. The address for our website can be found at
the bottom of our heading.

       If you have any questions feel free to call and ask Lola Tripp or Jay Tripp. Lola’s phone
number is 808-256-3662 and Jay can be reached at 808-256-3682. Thank you again for all your
support.



                                                         Much Mahalo’s,
                                             The Ewa Beach Crush Youth Football League
                     EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                           91-1040 Kuhina St.
                                            Ewa Beach, HI 96706
                                    www.leaguelineup.com/ewabeachcrush
Dear Parents and Players,
This is to inform you of some of the changes that were made to the Ewa Beach Crush Youth
Football League.

    1. We will be collecting the deposit for your child. It is a total of $150.00 for tackle/$100.00 for flag
       and cheer per player. It will be collected when you turn in your registration forms. (Your child
       will not have a reserved spot on the team until the full deposit is made.) YOUR DEPOSIT IS NON-
       REFUNDABLE!!! EVEN IF THE SEASON DIDN’T START .

    2. We will also be measuring your child on the day of registration so please have your child there
       with you. As soon as we get their measurement we can order their uniforms.

    3. Numbers on your child’s jersey may be requested but will not necessarily be given. Due to
       duplication in numbers.



    4. Our fees for this Year:
               Tackle Football           Flag Football             Cheerleading
               $300.00                    $200.00                  $200.00

        This will only include the following:
               Uniforms /for tackle gear rental(tackle only)
               Pictures
               ID’s
               Trophy


            If for any reason your child does not finish the season, your child will not receive a
            picture or trophy and will not be a part of the end of the season celebration.

    5. We will be holding fundraisers throughout the season for extra cost, such as referee fees, bowl
       game, our banquet and gifts for the children. There may be a few mandatory fundraisers.

    6. Parents will be responsible for any other personal equipment needed for your child.

Thank you for your participation in this year’s football season and are looking forward to this
upcoming season. If you have any questions or concerns regarding this letter, please feel free to
contact Lola Tripp or Jay Tripp.

                                                                Mahalo, and Thank You,
                                                          Ewa Beach Crush Youth Football Board
.
                                          EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                                                       91-1040 Kuhina St.
                                                                        Ewa Beach, HI 96706
                                                             www.leaguelineup.com/ewabeachcrush
                                                         2012 REGISTRATION CONSENT FORM
                                                                      Tackle/Flag
                                                                 (Please print clearly)
   Participant Name:       LAST NAME                                                                            FIRST
as on birth certificate
        Date of Birth:                                               Age as of this                                                 Home
                                                                        Dec. 15th:                                                              (    )
                                                                                                                                    #
    Parent/Guardian:       LAST NAME                                                  FIRST                                         Cell        (    )
                                                                                                                                    Work        (    )
    Parent/Guardian:       LAST NAME                                                  FIRST                                         Cell        (    )
                                                                                                                                    Work        (    )
             Address:

                   City:                                                                   Zip Code:

       Email Address:                                                                       Email Address:

         NAME (preliminary) TO BE PRINTED ON JERSEY:
         (PRINT CLEARLY!!) Limit 10 characters-tentative

I/we, the parent/guardian of ___________________________________________ hereby give my/our permission to participate in any and all football activities during
the current football season. I/we assume all risks and hazards incidental to such participation including transportation to and from the activities. I/we hereby waive,
release, absolve, indemnify and hold harmless the Ewa Beach Crush Youth Football League (EBCYFL) and any person(s) transporting my/our child to and from
activities from any claim(s) arising out of injury to my/our child, whether the injury is a result of negligence or for any other cause except to the extent and in the
amount covered by the accident or liability insurance. In the event of an injury to my/our child, I/we hereby grant authorization to a qualified physician to render such
medical treatment as deemed necessary.
As a Parent/Guardian, I agree to the following terms and conditions:
          To the initial deposit $150/$100 NON-REFUNDABLE fee. X_______
          To make registration payment in full by July 2nd 2012.
          To return all equipment or provide monetary replacement of equipment.
          To assist as Spotter and/or Recorder or part of a two (2) member Chain Gang, as required during the football season.
          To pay any bank fees assessed for any of my/our returned check(s) made payable to EBCYFL.
          To authorize that photographs or video/digital images of said minor may be published in an outlet (website/news media) used to
           promote or publicize the Ewa Beach Crush Community Sports Program.
            I FULLY ACKNOWLEDGE/UNDERSTAND THAT AS OF July 2nd, 2012 ALL PAID REGISTRATION
            FEES ARE NON-REFUNDABLE. This is for league costs that have already been paid out for my child as a
            willing participant. I also clearly understand that if my child drop before the first season game, my child will
            not receive a uniform, trophy or pictures. Fees made to the League for my child will be simply taken as a
            donation to EBCYFL.
                ____________________________________________________________________________________________
                           Signature of Parent/Guardian                                                    Date
            EMERGENCY CONTACTS
Name                                                                           Relationship                                               Phone

Name                                                                           Relationship                                               Phone

Medical Facility                                                               Physician                                                  Phone

Medical Insurance Carrier

            Note: EBCYFL has mandatory group Accident Insurance coverage for medical and hospital expense. It carries a deductible of $100 for each accident
            incurred; this insurance is considered a secondary coverage.
                            EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                          91-1040 Kuhina St.
                                          Ewa Beach, HI 96706
                                   www.leaguelineup.com/ewabeachcrush




Ewa Beach Crush Medical and Emergency Form
                                                                               Date
Child's Name:                                       Parent or Guardian Name:
Age:                                               Home Phone Number:

Date of Birth:                                     Work Phone Number:
                                                   Cell Phone Number:

Known Medical Conditions:

Known Allergies:                                    Alternate Contact Name:
Current Medications:                               Home Phone Number:

                                                   Work Phone Number:

                                                   Cell Phone Number:

Family Doctor:

Doctor Phone Number:                                Alternate Contact Name:
                                                   Home Phone Number:
                                                   Work Phone Number:

                                                   Cell Phone Number:




Special Notes:
                    EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                        91-1040 Kuhina St.
                                        Ewa Beach, HI 96706
                                 www.leaguelineup.com/ewabeachcrush




I,_______________________________ give my consent for The Ewa Beach Crush Youth


Football League to render medical attention needed for my child, _______________________


while participating in any of the activities throughout the football season. This includes all forms


of medical services received by any medical facility and/or ambulance. I understand that I am


responsible for any charges that may occur during such emergency.




Parent/Guardian Signature:_________________________________________________



Today’s Date:___________________________________________________________
               EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
                                    91-1040 Kuhina St.
                                    Ewa Beach, HI 96706
                             www.leaguelineup.com/ewabeachcrush


                                   2012 Physical Form

(1) THIS FORM MUST BE RUBBER STAMPED BY THE PHYSICIAN OR CLINIC.
(2) This physical must be dated within this current calendar year between January 1st and
    December 31st.
    **FORM INVALID WITHOUT THE RUBBER STAMP AND CURRENT YEAR TO DATE**

   Name of Player:______________________________________________________

   Division/Team:_______________________________________________________

   Age:____          Weight:______              Height:_________

   Asthma: Yes or No (please circle one)            Allergies: Yes or No (please circle one)
   If yes please state type of allergy:


   I have examined the above name child; he/she:(please circle one)

   ____ IS sufficiently healthy and found physically able to participate in football activities.

   ____IS NOT sufficiently healthy and found physically unable to participate in football
   activities.
   Please note any specific health concerns/conditions:




   ___________________________                     Rubber Stamp Here:
   DATE

   ___________________________
   Examining Physician

   ___________________________
   Hospital/Clinic
EWA BEACH CRUSH YOUTH FOOTBALL LEAGUE
              91-1040 Kuhina St.
              Ewa Beach, HI 96706
       www.leaguelineup.com/ewabeachcrush

				
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