Alden-Conger Public School District

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3rd-6th Grade Youth Football

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Player Information

Parent/Guardian Contact Information

Are you interested in coaching?
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Parent/Guardian #2 Contact Information

Are you interested in coaching?
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Parental Consent Form

I give permission for my child to participate in the Alden-Conger Youth Football Program and agree to release any and all persons supervising and assisting in the program from any liability for injuries that my child may sustain while participating in the program. I also understand that I will assume all financial responsibility for any medical expenses that may be required to treat injuries sustained while participating in this activity. In the event that I am unable to be contacted, I hereby give permission to provide emergency first aid and/or medical care for my child.*
Answer required for "I give permission for my child to participate in the Alden-Conger Youth Football Program and agree to release any and all persons supervising and assisting in the program from any liability for injuries that my child may sustain while participating in the program. I also understand that I will assume all financial responsibility for any medical expenses that may be required to treat injuries sustained while participating in this activity. In the event that I am unable to be contacted, I hereby give permission to provide emergency first aid and/or medical care for my child."

Sportsmanship Pledge

I acknowledge that I am a role model. I will remember that community athletics and activities are an extension of the classroom, offering learning experiences for students. I must show respect for all players, coaches, spectators, officials and support groups. I will support, encourage, and uplift all teams involved. I understand the spirit of fair play and that good sportsmanship is expected. I hereby accept my responsibility to be a model of good sportsmanship, acknowledge that my failure to do so may result in consequences, and promise to demand the same of those around me.*
Answer required for "I acknowledge that I am a role model. I will remember that community athletics and activities are an extension of the classroom, offering learning experiences for students. I must show respect for all players, coaches, spectators, officials and support groups. I will support, encourage, and uplift all teams involved. I understand the spirit of fair play and that good sportsmanship is expected. I hereby accept my responsibility to be a model of good sportsmanship, acknowledge that my failure to do so may result in consequences, and promise to demand the same of those around me."

Concussion Education

Please review this document:  https://www.cdc.gov/heads-up/media/pdfs/youthsports/Parent_Athlete_Info_Sheet-a.pdf

I have reviewed the above information regarding concussions.*
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In order to complete registration for this team, a fee of $75 is required to be paid.  You may pay online at RevTrak or send check or cash to Jenny Hovendick-Savick in the High School Office.  Make checks payable to "A-C Youth Football."

Confirmation Email