All players must fill out and submit this form. Click on the file above and download.


Thanks, Ray

Sample below


  RELEASE


Name:

Address: 

Phone#(s):

Email:   

I accept full responsibility for any injury incurred during the Joy Fund Charity Bowl practices and game.  I acknowledge that the sport of football is inherently dangerous and that significant injuries including death may occur as a result.  I understand that I will not be reimbursed for any expenses for hospital or health care and I must provide my own insurance.  I will not be compensated for missed work due to injuries. I will not hold The Virginian-Pilot Joy Fund, its employees or coordinators of the Charity Bowl responsible for any injury I incur during the Charity Bowl game.

I agree to return the issued Jersey at the conclusion of the Charity Bowl game.  The issued Jersey is property of The Joy Fund Charity Bowl and if not returned, I will be prosecuted to the full extent of the law and will no longer be eligible to play in future Charity Bowl events.

Jersey Number issued:    _________

By signing below I agree to the above terms and conditions.


Signature_______________________________________________________________


STAFF USE ONLY:

Team: ________________________________   Jersey Number issued:    __________

# of tickets issued: _____________________    Paid for with: ___________________
                                     (cash, check, other)



This page was last updated: November 4, 2009
email me
Introducing the
Charity Bowl Ring
Click above for
more information
Player Practice Schedules
for 2009
All practices are scheduled at Powhatan Fields

Monday
thru
Thursday
7 – 9 PM

Starting November 2 2009

Note:
Practices may be on the back soccer fields that are just behind
Powhatan Football Stadium

Now taking orders for 2009