2008 KYS Flag Football

Child's Name___________________Age as of 9/1/08 ____   DOB_____

Home Phone _____________ Address___________________ Zip_______

Child's Sex ____Grade______School____________________

Parent's Primary Email Address____________________________________

List other commitments that will prevent your child from attending practices and

games: __________________________

Father's Name______________________________________________________

Mother's Name___________________________________________________

Parent's Primary Address__________________City________Zip______

Parent's Primary Telephone Number____________________________________

Parent's Employer __________________________________________

Employer's Address_________________________City________Zip___________

Does parent want to coach? Yes ____ No ____ Maybe ____ Head Coach ____ Assistant ____

Yes ______, my company will sponsor _____ flag football team(s).

I will assure that my child will attend practices and games. I hearby give my permission in the above athletic program and hearby release and hold harmless Knox Youth Sports, Inc., and its officers, directors, employees, agents, and coaches from and against any liability incurred in conjunction with or arising out of my child's participation in the said athletic programs. Also, I understand that playing time may be determined by participation in practices.

__________________________ (parent or guardian signature)

Print, complete form, and mail to:

Knox Youths Sports

P.O. Box 10964

Knoxville, Tenn. 37939