Forms

2022 PJYFL Registration is Open

Please see a Port Jervis Youth Football League board member to register after August 1, 2022.

2022 PJYFL Registration is Open

Please see a Port Jervis Youth Football League board member to register after August 1, 2022.

2020 PJYFL Registration is Open

Parent/Gaurdian Email^*

Choose One^*

Football
CheerLeading

Please pick one

Player's First Name^*

Player's Last Name^*

Home Phone

Cell Phone^*

Home Address

Address Line 1

Address Line 2

City

State or Region

Zip

Child's Email^*

Date of Birth^*

Age as of 11/01/2020^*

Grade as of September 2020^*

School Attending (Please no abbreviations)^*

Any allergies, required medications, and/or medical/physical conditions? If so, please list:^*

Parent/Guardian First Name^*

Parent/Guardian Last Name^*

Emergency Contact Name^*

Emergency Contact Phone Number^*

Terms and Conditions^*

I agree

I/We the parents/guardians of the above named candidate for a position on a youth football or cheerleading team, hereby give my/our approval to participate in any and all youth football or cheerleading activities. I/We assume all risks and hazards incidental to such participation including to and from the activities: and I/We hereby waive, release, absolve, indemnify and agree to hold harmless the OCYFL, PJYFL, the organizers, sponsors, managers, coaches, referees, league, board members, safety officer, announcer, committee members, timekeepers, supervisors, participants, and persons transporting my/our child to and from activities from any claim arising out of injury to my/our child whether the result of negligence or for any cause, except to the extent, and in the amount covered, by accident or liability insurance.BIRTH CERTIFICATE REQUIRED AND KEPT ON FILE WITH REGISTRATION. A SIGNED PARENT CODE OF CONDUCT AND A MEDICAL FORM SIGNED AND DATED BY PHYSICIAN FOR THE CURRENT YEAR ARE ALSO REQUIRED TO BE ELIGIBLE TO PARTICIPATE IN THE OCYFL / PJYFL.

Registration Fee^*

Because we are not certain if we will have a season, at this time we are not accepting payments. Please continue to register your child so we can assess interest in 2020 participation.

Payment will be due at equipment handout

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