EmailMeForm
2019-20 Tryout Camp Registration: National Teams
Completion of this form registers you to participate in all 4 dates. Tryout results will be posted on the website at a later date. Any forms submitted without the accompanying fee will be discarded. Please do not fill out this form more than once. Long Island Elite Football is a non-profit 501(c)3 charitable organization.
I am trying out for this team (DOB Cut-Off is August 1)
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Please select
LIE 8U
LIE 9U
LIE 10U
LIE 11U
LIE 12U
LIE 13U
LIE 14U
LIE 15U
**THERE IS NO PLAYING UP, AND NO EXCEPTIONS. ALL PLAYERS MUST PLAY IN THEIR RESPECTIVE AGE GROUP. BIRTH CERTIFICATES AND STATE ID'S WILL BE VERIFIED. ANYONE FOUND TO BE REGISTERED TO AN OLDER AGE GROUP WILL BE DISQUALIFIED FROM THE PROGRAM.**
Player Information
Player Name
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First
Last
Player Email
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Position(s)
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Center
Offensive Guard
Offensive Tackle
Quarterback
Running Back
Wide Receiver
Tight End
Defensive Tackle
Defensive End
Middle Linebacker
Outside Linebacker
Cornerback
Safety
Longsnapper
Kicker
Punter
Holder
Kick Returner
Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Cell Phone
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Date of Birth
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MM
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DD
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YYYY
Upload a copy of your birth certificate
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Height
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Weight
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Name of Current School
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What team(s) do you currently play for?
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Graduation Year
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HUDL
Twitter
Instagram
Highlight Reel
**ONLY UPLOAD A HIGHLIGHT FILE IF YOU DO NOT HAVE A HUDL ACCOUNT. OTHERWISE JUST PROVIDE YOUR HUDL LINK ABOVE.**
Upload a Headshot
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NO HELMET
T-Shirt Size
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Please select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Parent/Guardian Information
Guardian Name
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First
Last
Guardian Email
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Guardian Cell
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Medical
Each participant is required to be covered by medical insurance.
Insured Name
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First
Last
Relationship to player
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Insurance Company Carrier & Plan or Group Number
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Insurance ID Number
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Allergies
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Medication
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Dietary Restrictions
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As a participant with Long Island Elite Football ("Organization"), I acknowledge that participation with the Organization exposes me to a possible risk of personal injury. I, hereby release L I Elite, Inc (“Company”) and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, from any and all liability from property damage, personal injuries or other claims arising from or in connection with my participation in the Event including claims that are known and unknown, foreseen and unforeseen, future or contingent.
I covenant that I will not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against Long Island Elite Football, L I Elite, Inc and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, arising out of or relating to the actions, causes of action, claims and demands hereby waived, released or discharged by me.
For good and adequate consideration, which I acknowledge I have received, I hereby grant, release, and quitclaim to the Company the right and authority to use, sell, reproduce, and distribute, quoted material, email address, biographical information, my photograph, likeness, recorded voice or videotaped filmed appearances obtained in connection with the Organization (the "Materials") for promotional and advertising purposes or programs as Company in its sole discretion will deem appropriate.
I acknowledge that I have read and fully understand this Player Authorization, Injury Waiver, and General Release Form. This agreement will be binding on me, my spouse, my children, legal representatives, heirs, successors and assigns.
DATE
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MM
/
DD
/
YYYY
Player Signature
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Clear
The undersigned ("Parent"), parent of ("Player"), hereby consent to affirm, and, on behalf of Player, agree to be bound by the Injury Waiver and General Release Form attached hereto which has been signed by Player. Parents also represent, warrant and agree that Parents (is)(are) entitled to the care and custody of Player and (is)(are) Player's legal guardian(s); that during the minority of Player and for a reasonable time afterwards, Parents will use all reasonable efforts to prevent Player from attempting to or actually disaffirming the Injury Waiver and General Release Form signed by Player; that Parents hereby acknowledge that Parents have read the Injury Waiver and General Release Form and are satisfied that it is fair and equitable for the benefit of Player; and that Parents will not revoke this consent and approval.
DATE
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MM
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DD
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YYYY
Parent Signature
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Clear
Total
$65.00
