I hereby give consent for my child to participate in the Boys & Girls Clubs of Northwest New Jersey Travel Football Program. I assume all risk in regard to participation in this and any other Boys & Girls Club program in which my child may participate. I release, indemnify and agree to hold harmless the Boys & Girls Clubs of Northwest New Jersey its directors, officers, coaches, and volunteers from any liability that may result from participation in Boys & Girls Club activities.
By agreeing, I attest to that the included information is correct and that in the event of a medical emergency, I authorize the Boys & Girls Club of Pequannock to seek emergency medical care for my child as deemed necessary by the Director.
This information is collected in an effort to secure demographic information on Club membership used in grant proposals.
Please list your child's height and weight.
Please list your child's t-shirt size below.
If you would like to volunteer to coach your child's team please enter coach's name, player's grade and email for communication. Example: John Smith 3rd Boys email@example.com
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