Qty
Description
Amount
Total

$175.00
---

$275.00
---
Total: $0.00
Future Commitment: $0.00
Player Information
Parent/Emergency Contact Information


I give the Gross Jr. Cougar staff permission to post my child’s picture on the their website. I understand that their picture will not be sold but is not completely secure from being stolen off the website. I do not hold Gross Jr. Cougar Organization, nor its volunteers or staff members responsible in the case that my child’s picture is taken from the website. I understand that the purpose of posting pictures is to share with others the activities of our youth, not only through words, but actions as well.

Waiver of Liability and Disclaimer

I/We, the parents or guardians of the above named child hereby give my/our approval to participate in any and all league activities. 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 agree to hold harmless the Gross Catholic, Jr. Cougar Football organization and/or its affiliated organizations, sponsors, participants and persons for any claim arising out of an injury to my/our child, whether the result of negligence or from any other cause. I/We further acknowledge that Gross Catholic, Jr. Cougar Football and/or its affiliated organizations do not provide medical insurance for players/participants. I/We will furnish a birth certificate for the above named child to league officials if requested.
There will be NO REFUNDS granted!
I have read this waiver statement, and I understand and voluntarily agree to its provisions.
Payer Information
This is the address where your credit card statements are mailed.
Best number to reach you while your child is attending camp.
A receipt will be e-mailed to this address.
Your Payment Information

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