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GROTTOES FLAG
FOOTBALL LEAGUE

********** TEAM REGISTRATION FORM **********






Team Name: ____________________________________________________

Team Colors: _____________________________(jerseys or shirts required)

Team Representative: Name: _____________________________________

Address: ___________________________________

___________________________________

Phone: Home: ____________ Work: ____________

Each Team must have League approved jersey colors to avoid repetition. All players MUST have identifying jerseys or shirts of the same color and type with at least 12 inch numbers on back and must wear them in order to participate. Team jersey color assignment made based on order in which Team Registration Form and Fees received by League.

RETURN FORM TO: CHECKS PAYABLE TO:

Mark Sterling GROTTOES FLAG FOOTBALL LEAGUE
701 Forest drive
Grottoes Va. 24441

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Section below (team approval) to be filled out by League

Colors Approved: __________
League Fee Paid: __________
Rep. Designated: __________

League President: _______________________ Date: _____________

League Membership on a first-come, first-served basis. Forms not accepted after registration deadline, unless team quota not met.



GROTTOES FLAG FOOTBALL LEAGUE

**** PRELIMINARY ROSTER ****

(Due PRIOR to Team’s FIRST GAME)


TEAM NAME: ________________________________________________________________________

**** WAIVER OF LIABILITY ****

IN SIGNING THE ROSTER BELOW, I HEREBY AGREE TO PLAY FLAG FOOTBALL AT MY OWN RISK. I WILL NOT HOLD THE TOWN OF GROTTOES, MARK STERLING AND GROTTOES FLAG FOOTBALL LEAGUE, IT’S OFFICERS, OFFICIALS, REPRESENTATIVES, MEMBERS, OR SPONSORS RESPONSIBLE FOR ANY INJURIES SUSTAINED BY MYSELF WHILE PLAYING AS A MEMBER OF THE ABOVE TEAM OR IN THE NAMED LEAGUE. FURTHER, I FULLY UNDERSTAND THAT NO INSURANCE OF ANY KIND IS BEING PROVIDED BY ANY OF THE NAMED PARTIES OR INDIVIDUALS. I MAY PURCHASE OR ACQUIRE ACCIDENT INSURANCE ON MY OWN IF I ELECT TO DO SO, AND BY SIGNING THIS DOCUMENT, DO SO RECOGNIZE THAT IN PLAYING, I MAY SUSTAIN PHYSICAL INJURY AND DO AGREE TO THIS WAIVER OF LIABILITY.

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NOTE: ALL NAMES MUST BE PERSONALLY SIGNED AND PRINTED BELOW OR ON BACK.









SIGN NAME PRINT NAME

1. __________________________________________ _________________________________________

2. ___________________________________________ _________________________________________

3. ___________________________________________ _________________________________________

4. ___________________________________________ _________________________________________

5. ___________________________________________ _________________________________________

6. ___________________________________________ _________________________________________

7. ___________________________________________ _________________________________________

8. ___________________________________________ _________________________________________

9. ___________________________________________ _________________________________________

10. __________________________________________ _________________________________________

(OVER)
(ROSTER CONTINUED…..)






11. _________________________________________ _________________________________________

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13. _________________________________________ _________________________________________

14. _________________________________________ _________________________________________

15. _________________________________________ _________________________________________

16. _________________________________________ _________________________________________

17. _________________________________________ _________________________________________

18. _________________________________________ _________________________________________

19. _________________________________________ _________________________________________

20. __________________________________________ _________________________________________

21. _________________________________________ _________________________________________

22. __________________________________________ _________________________________________
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