Colfax Youth Flag Football Registration

Enter the player’s full name.
Enter the player’s gender.
Player’s grade in 2026-27 schoolyear.
Player’s shirt size
Player’s playing level.
Enter the names of parent(s) or guardian(s).
Enter the player’s home address.
Primary contact phone number for parent or guardian.
Secondary contact phone number (optional)
Email address for parent or guardian.
Name of someone to contact in case of emergency.
Phone number for emergency contact.
Please list any relevant health concerns or attest that the player is in good health to participate.
List any allergies the player has. If none, write ‘None’.
Volunteer Coach
Check if you are interested in volunteering as a coach. **Free Player Registration for Coaches Children**
Name of volunteer coach.
Volunteer coach email address.
Liability Waiver Agreement
I the undersigned, in consideration of your accepting my child’s entry, hereby assume for my child all risks and hazards of the conduct of this League-sponsored recreation program and release for myself, my child, my heirs, executors, and administrators any and all claims and rights for damages I/my child may have against the Colfax Youth Flag Football Program and participating agencies, employees, and volunteers connected with the program. I specifically release and hold harmless the Colfax Flag Football Program and its agents, employees, and volunteers from any liability which may arise from the negligence of the participating agencies, employees, volunteers, and others involved with the program. I also acknowledge for myself/my child that the Colfax Youth Flag Football Program provides restricted medical cover- age for any accidents or injuries that might result during participation in League-sponsored activities. I have read and understand these registration policies. Registration is invalid without participant’s parent/guardian signature.
Concussion Protocol Agreement
A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a “ding” or a bump on the head can be serious. You can’t see a concussion and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away. Symptoms may include one or more of the following: ● Headaches ● “Pressure in head” ● Nausea or vomiting ● Neck pain ● Balance problems or dizziness ● Blurred, double, or fuzzy vision ● Sensitivity to light or noise ● Feeling sluggish or slowed down ● Feeling foggy or groggy ● Drowsiness ● Change in sleep patterns ● Amnesia ● “Don’t feel right” ● Fatigue or low energy ● Sadness ● Nervousness or anxiety ● Irritability ● More emotional ● Confusion ● Concentration or memory problems (forgetting game plays) ● Repeating the same question/comment Signs observed by teammates, parents and coaches include: ● Appears dazed ● Vacant facial expression ● Confused about assignment ● Forgets plays ● Is unsure of game, score, or opponent ● Moves clumsily or displays incoordination ● Answers questions slowly ● Slurred speech ● Shows behavior or personality changes ● Can’t recall events prior to hit ● Can’t recall events after hit ● Seizures or convulsions ● Any change in typical behavior or personality ● Loses consciousness. What can happen if my child keeps on playing with a concussion or returns too soon? Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often fail to report symptoms of injuries. Concussions are no different. As a result, education of administrators, coaches, parents and students is the key to student- athlete’s safety. Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The new “Zackery Lystedt Law” in Washington now requires the consistent and uniform implementation of long and well-established return-to-play concussion guidelines that have been recommended for several years: “a youth athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time” and “…may not return to play until the athlete is evaluated by a licensed heath care provider trained in the evaluation and management of concussion and received written clearance to return to play from that health care provider”. You should also inform your child’s coach if you think that your child may have a concussion. Remember it’s better to miss one game than miss the whole season. And when in doubt, the athlete sits
Photography Release
I hereby grant Colfax Youth Flag Football, its representatives, employees, and authorized agents, the irrevocable and unrestricted right to use and publish photographs or videos taken of me/my child during youth soccer events, for editorial, trade, advertising, educational, and any other lawful purpose, in any manner or medium. I waive any right to inspect or approve the finished product or the use to which it may be applied. I also release Colfax Youth Flag Football from any claims, damages, or liability arising from or related to the use of the photographs/videos. I understand that no compensation will be provided for the use of these images or recordings.
Checkbox Items
** Included in the registration fees are liability insurance for the program, replacement of equipment and other supplies necessary to run the program. A minimum fee is required to process all registrations. Volunteer coach fees will be refunded.
Acknowledgement