Football is like life - it requires perseverance, self-denial, hard work, sacrifice, dedication and respect for authority. Vince Lombardi

Medical Release and Treatment Form

All athletes and parents must realize the risk of injury which may be a result of athletic participation. The Plymouth South Youth Football / Cheerleading program will make every effort to minimize the risk of injury. PYSF does not hold itself financially responsible for injuries received by participants in its program. In the event of any injury occuring to my son / daughter named above at any Plymouth South Youth Football sponsored practice, game or event, at which I am not present, I hereby grant permission to the organization through it's directors, coordinators and coaches to act on my behalf to permit emergency treatment to my child as needed, until I can be contacted.

PLEASE READ THE FOLLOWING CAREFULLY

REFUND POLICY: Registration refunds of 100% will be granted up to the start of the current year's program. A refund of 50% will be granted through the sixth scheduled practice from the start of the current year's program, this includes 3 conditioning and 3 contact practices for the football program and six regularly scheduled cheerleading practices.

RETURN CHECK POLICY: There will be a $25.00 charge for any check returned by the bank. Checks returned a second time will be subject to another $25.00 charge and only cash, money order or certified bank check will be accepted. The player(s) will not be allowed to participate until the account is paid in full.

EQUIPMENT RELEASE: As a participant in the PSYF program I understand that it is my/our responsibility to maintain and return to PSYF all equipment/uniforms at the end of the season or upon request. I/we also understand that failure to return any/all of the equipment /uniforms will result in my/our having to replace any of that equipment/uniform at retail cost. At equipment handout, we will be collecting a deposit (in check form), of $200.00. Your check will be held, uncashed, until equipment return day. If you do not return your equipment and have not contacted your head coach to make other arrangements, your check will be cashed at that time.

As a parent/guardian of the applicant, I hereby authorize his/her membership as an active participant and player/cheerleader in any position deemed advisable by the organization as governed by the rules and regulations established by Plymouth South Youth Football under the guidelines of the Old Colony Youth Football and Cheerleading League.

BY CLICKING THE SEND BUTTON, I STATE THE ABOVE CONDITIONS HAVE BEEN READ, UNDERSTOOD AND ACCEPTED