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2. 
4. East Grand Rapids Youth Football Permission Slip and Indemnity and Hold Harmless Agreement
6. I hereby give my permission for my child to participate in the East Grand Rapids Youth Football Program.*

   This is a permission to play form. This is NOT an enrollment form. You will still need to enroll online or by phone and make a payment for the league.

8. I (we) the undersigned, do hereby agree and contract to INDEMNIFY AND HOLD HARMLESS, EAST GRAND RAPIDS YOUTH FOOTBALL and the West Michigan Youth Football League, and any and/or all coaches, assistant coaches, field directors, board members, teammates and players for any and/or all injuries incurred to my child. The INDEMNITY AND HOLD HARMLESS AGREEMENT however, shall not bar actions for intentional gross or wanton negligence. If I (we) or my above named child and his/her heirs, executors or assigns, bring any legal action against any of the aforementioned individuals and/or organization(s), I (we) agree to indemnify the aforementioned individuals and organization(s) for and/or liability and/or costs and/or expenses they may incur. This specifically includes indemnity for all attorney expenses, legal expenses, costs, including any amount of settlement, or the amount of any jury verdict. The undersigned warrants that no promise or inducement has been offered except as herein set forth; THIS IS AN INDEMNITY AND HOLD HARMLESS AGREEMENT; the undersigned is of legal age, is legally competent, and has legal custody of the aforementioned child. This is not a recital and this INDEMNITY AND HOLD HARMLESS AGREEMENT contains the entire agreement. I (WE) HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I (WE) HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
10. I (WE) HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I (WE) HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
12. Today's Date*
    Today's Date
13. Parent/Legal Guardian Signature*
15. Football Players First Name*
16. Football Players Last Name*
18. Address1*
19. Phone Number*
21. City*
22. State*
23. Zip*
25. Parent Email*
27. Previous tackle football experience*

    1. Yes
    2. No
28. If yes, how many years*
30. Grade in Fall of 2022*
    -- Select One --3rd4th5th6th7th8th
31. Age of of 9/1/2022*
    -- Select One --891011121314
33. Football players weight*
34. Date of Birth*
36. This is a permission to play form. This is NOT an enrollment form. You will still need to enroll online or by phone and make a payment for the league.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field