Bay Area Sharks 2020 Mini Cheer Register today! Registration Child InformationChild's Name* First Last Child's Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenPlayer Weight (Do not fill out) Child's Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent (Legal Gaurdian) InformationParent (Legal Guardian) Name 1*Mother if applicable. First Last Email Address Parent 1*Mother's email address if applicable. Phone Number Parent 1*Mother's phone number if applicable.Place of Employment Parent 1*Mother's place of employment if applicable. Parent (Legal Guardian) Name 2Father's name if applicable. First Last Email Address Parent 2Father's email address if applicable. Phone Number Parent 2Father's phone number if applicable.Place of Employment Parent 2Father's place of employment if applicable. Emergency ContactEmergency Contact Name* Emergency Contact Phone Number*Emergency Contacts with Notarized Permission*In absence of a parent, the following persons have my written and notarized permission to act on my behalf (please list any additional names). Medical InformationFamily Physician Name* Family Physician Phone Number*Medical HistoryDoes child have, or is child subject to, any of the following?(Please check all that apply) Asthma Diabetes Fainting Spells Heart Trouble Sports Restrictions Allergy Convulsions Other Other Any reaction/allergy to medication? Any restriction of activity for medical reasons?* Yes No Explain Team HistoryDid applicant participate in TIFI last season?* Yes No Is applicant transferring from another TIFI team?* Yes No HiddenTeam registering for* PeeWee (6-7) Freshman (8) Sophomore (9) Junior (10) Senior (11-12) Drill Team Mini Cheer InsuranceInsurance Company* Insurance Policy Holder* Insurance Policy Number* Insurance Company Address*(City, State) Insurance Company Phone Number*Employer of the Insured* Does this insurance cover this child during participation in this program?* Yes No School InformationSchool Name* What grade will the participant be in for the 2020-2021 school year?* Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade Code of EthicsDo you accept the player code of ethics?* Yes No Do you accept the parent code of ethics?* Yes No VolunteeringI choose to volunteer as* Head Coach Assistant Coach Team Mom Team Equipment Manager Chain Gang Board Member I do not wish to volunteer in a position at this time Please select an event to volunteer at* Sharks Pool Party Homecoming Events Post Season Responsibilities Banquet For concessions I want to* Pay the $30 buyout fee Work my assigned concession duty How did you hear about the Sharks?* Played last year Word of Mouth Facebook School Function ConfirmationCERTIFICATION* I, the undersigned parent (legal guardian) of the above named applicant, certify all information on this application is correct in all respects. I will adhere to all stipulations set forth here and acknowledge the reserve right of Texas Intercity Football, Inc. (TIFI) to suspend this applicant's eligibility in this program through its own volition, pursuant to the need arise and understand this applicant's proof of age, weight, grade and eligibility are TIFI Bylaws, should subject to re-certification by TIFI anytime.ASSUMPTION OF LIABILITY* I, the undersigned, do hereby assume liability for, and agree to pay the above named Booster Club, the cost of any or all equipment issued on loan to said applicant that is not returned or is returned to this Booster Club in a condition not attributable, in the President's decision is final in this respect and that the sum total value of all football equipment issued on loan to this applicant is not more than two hundred twenty five dollars ($225.00}. I agree to assume liability for any/all property damage perpetrated by this applicant during any TIFI Club sponsored event.RELEASE* I, the undersigned, do hereby knowingly release TIFI, all TIFI Booster Clubs, any attending physician, any hospital, any TIFI Club designated volunteer trainer and the property owner/lessee/lessor from any and all liability that may arise due to bodily injury to said applicant or first aid medical attention administered through this applicant's participation in practice, game activities or otherTIFI approved events conducted or sponsored by TIFI or this Booster Club. I also understand that a DEDUCTIBLE, EXCESS accident insurance policy is in effect for this applicant during participation in TIFI and TIFI approved Club activities.COMPLAINTS* All coaches, volunteers, parents, players, and individual booster clubs may exercise their rights as a United States citizen and utilize the court system for their complaints after they have exhausted their appeal processes laid out by TIFI. However, if they choose to do so, they must relinquish their membership and coaching opportunities until the case is complete. Membership and coaching applications can only be reinstated by a 4/5 vote of the entire conference, not just those present.Participant Signature*Parent Signature*
