EmailMeForm
495 PST Team Registration
Please do not fill out this form more than once. Long Island Elite Football is a non-profit 501(c)3 charitable organization.
Select your Team (DOB Cut-Off is August 1)
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Please select
5/6 PEE WEE
7U
8U
9U
10U
11U
12U
13U
14U
15U
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
Player Cell Phone
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Date of Birth
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MM
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DD
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YYYY
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
Pants Size
*
Please select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Jersey Size
*
Please select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Sock Size
*
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 Phone
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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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Payment
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Please select
FULL PAY $585
TWO PAY $292.50
THREE PAY $195.00
By checking this box and signing below I understand and agree to pay the full contractual amount of $585.00. I understand the cost of the program is $585.00 whether I choose to participate only in Spring or Fall, or both. The cost is $585.00.
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I understand and agree to the contract.
As a participant with Long Island Elite Football and PST Football ("Organizations"), I acknowledge that participation with the Organizations exposes me to a possible risk of personal injury. I, hereby release L I Elite, Inc and PST Lions (“Companies”) 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,, PST Lions, 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
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DD
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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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YYYY
Parent Signature
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Clear
Total
$0.00