2023 PYFFL | NFL FLAG FOOTBALL & CHEERLEADING  FALL/WINTER SEASON REGISTRATION
WHAT: INTRAMURAL NFL FLAG FOOTBALL & CHEERLEADING
WHO: BOYS & GIRLS 6-18
WHEN: NOV 12TH - JAN 14TH
2 HOUR PRACTICE 1 DAY A WEEK
1 HOUR GAMES ON WEEKEND 

FREE CONDITIONING AND SCRIMMAGES  2 DAYS A WEEK. JUNE 11TH-AUGUST 8TH

PRACTICE & GAME LOCATION:
TBA

REGISTRATION FEE:
$150 FOR FALL/WINTER NFL FLAG FOOTBALL OR CHEER + FREE SUMMER CONDITIONING AND SCRIMMAGES

THIS FORM IS FOR BOTH FOOTBALL & CHEER; BOTH REGISTRATIONS ARE $150. THREE PAYMENT OPTIONS ARE AVAILABLE; PAY NOW, PAY LATER, AND SCHOLARSHIP. A $40 NON-REFUNDABLE DEPOSIT IS REQUIRED FOR SCHOLARSHIP REGISTRATION AND $75 DEPOSIT FOR PAY-LATER REGISTRATION. SCHOLARSHIPS, PAYMENT PLANS, VOLUNTEER DISCOUNTS, RETURNING PLAYER DISCOUNTS, AND SIBLING DISCOUNTS ARE AVAILABLE. USE ANY PROMO CODE WITH THE "PAY IN FULL" OPTION ONLY! IF INTERESTED IN DISCOUNTS TEXT US AT ‪(407) 906-5045 WITH YOUR EMAIL ADDRESS AND CHILD'S NAME AFTER YOU PAID THE DEPOSIT & REGISTER YOUR CHILD. PROVIDE PROOF OF CURRENT (WITHIN 12 MONTHS) WIC/SNAP/MEDICAID STATUS IF APPLYING FOR A SCHOLARSHIP. IF YOU HAVE PROBLEMS PROVIDING THESE ITEMS; TEXT US AT ‪‪(407) 906-5045. ALL TRANSACTIONS ARE FINAL AND WE HAVE A NO-REFUND POLICY!

THE FULL REGISTRATION FEE OR ROSTER RESERVATION DEPOSIT MUST BE MADE! THIS REGISTRATION WILL BE DELETED IF PAYMENT IS NOT MADE AFTER SUBMITTING THIS FORM.


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Email *
2023 PYFFL SPRING SEASON
PARENT / GUARDIAN NAME: *
PHONE NUMBER: *
WOULD YOU OR A HOUSEHOLD MEMBER BE INTERESTED IN VOLUNTEERING?  *
PARTICIPANTS FIRST NAME: *
PARTICIPANTS LAST NAME:
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PARTICIPANTS' AGE (AFTER JAN 1ST): *
PARTICIPANTS BIRTHDATE: *
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PARTICIPANTS SCHOOL: *
PARTICIPANTS GRADE (FALL 2022): *
PARTICIPANTS SHIRT SIZE: *
WHICH REGISTRATION TYPE? *
EMERGENCY CONTACT NAME: *
EMERGENCY CONTACT NUMBER: *
PLAYER CONTRACT: By participating in the POINCIANA YOUTH FLAG FOOTBALL LEAGUE Program (PYFFL), you are accepting that your actions may be more prominent than those not associated with this Program. Because of this, exemplary behavior is mandatory at all times when you are recognized as representing the Program.Participation in the Program is a privilege not a right and may be revoked by PYFFL when a player violates these rules. The Program's enforcement of these rules is necessary to ensure the safety and general well-being of each individual player. Every attempt will be made to discipline fairly/equally, and to make consequences of action known ahead of time. Parents will be kept informed of problematic situations.PLAYER: I hereby state that:•Promote sportsmanship and a positive winning attitude through example.•Realize that the manner in which I conduct myself, whether in or out of uniform, directly reflects the entire team, school and our community.•Maintain discipline and stay current in my schoolwork.•Respect my teammates, coaches, faculty members, game officials and opponents.•Encourage my teammates at all times.•Advise my coach when I am hurt, sick or not feeling well.•Pay attention to instructions and advise my coach when I don’t understand.•Refrain from using foul language at practices, school or games.•Unexcused Missed practices during a game week will result in the following:o 1 missed practice = not playing during the 1st quarter of a game o 2 missed practices = not playing during the lbt half of a gameo 3 missed practices = attending game with jersey but not playingo 6 consecutive missed practices may result in my dismissal from the Team•Be on time and fully dressed for all practices and games.•Understand that if I am routinely late to practices and games without prior notification to my coaches, my playing time may be reduced, at the discretion of my coaches, which will be determined by the frequency of the infractions.•Recognize that my playing time during games will be based on dedication, ability and performance.•My lack of knowledge of team plays or fear of contact may put others at risk. (Note: PYFFLand its coaches make every effort, through the latest acknowledged safety techniques to help ensure that all participants have a safe and fun playing experience. On occasion, however, individual players may simply not be ready for this level of activity and reluctance on their behalf could put surrounding players, or themselves, in an unsafe situation.•Recognize that it’s a flag football program and any consistent unnecessary roughness is not tolerated and will be severely penalized. *
Required
PARTICIPANTS INITIALS *
DATE *
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PARENT: I hereby pledge to:•Recognize it’s a youth flag program and there are no NFL scouts and none of your kids is going to win the NFL Super Bowl here. LET THE KIDS HAVE FUN.•Realize the most effective and only way to help solve problems of the organization is to volunteer. •Provide positive support, care and encouragement for my child’s participation in youthsports by following this code of ethics.• I will encourage good sportsmanship by demonstrating positive support for all players,coaches and officials at every game, practice, or other youth sport event. I will place theemotional and physical well-being of my child ahead of any personal desire to win.•I will insist that my child play in a safe and healthy environment.•I will demand a drug, alcohol and tobacco free sport environment for my child and agree toassist by refraining from these uses in the playing facilities.• I will remember that the game is for the children and not for the adults. •I will do my very best to make youth sports fun for my child. •I will ask my child to treat other players, coaches, fans, and officials with respect, regardlessof race, sex, creed or ability. •I will make every effort for my child to attend all practices and games and I will give propernotification to the coach if they are unable to attend.•I will see that all the requested fees are PAID IN FULL before my child participates.• I will complete my volunteer obligations and do my fair share of any duties asked of me. *
Required
PARENTS INITIALS *
DATE *
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LIABILITY WAIVER: IN CONSIDERATION OF my minor child/ward (“my child’), being allowed to participate in any way in the SSS&T Enterprises LLC., D.B.A. Poinciana YouthFlag Football League program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child’s participation; and, 3. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 4. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event “SSS&T Enterprises LLC., D.B.A. Poinciana YouthFlag Football League”, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 5. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY CHECKING OFF ON ACKNOWLEDGEMENT,FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *
Required
PARENTS INITIALS *
DATE *
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Does your child have any condition that may prevent participation in strenuous exercise for 6 - 10 hours a week through the duration of the season? *
If yes, describe the condition(s):
Is your child taking any medication? *
If yes, describe:
Does your child have asthma or any other respiratory condition? *
If yes, describe the condition(s):
Does your child have any speech, hearing or sight impairment which might have an effect on their participation In this program? *
If yes, describe the condition(s):
Does your child wear glasses or contacts during practice and game situations? *
Does your child have any allergies? *
If yes, describe the condition(s):
Has your child ever been told not to participate in any sport for medical reasons? *
MEDICAL WAIVER: I state that my child/registrant is in satisfactory health with no specific health problems. As guardian for my child/registrant, I hereby acknowledge that I am aware of the risks involved in the sport for which I am registering my child/registrant and that by enrolling In the Program, I am expressly assuming all risks. I agree that I have adequate medical insurance coverage if the risk of injury occurs. I am also giving permission, in case of Injury, for a volunteer to take my child/registrant to a hospital for treatment, including the evaluation of injuries, x-rays and needed care. I hereby release SSS&T ENTERPRISES LLC., DBA Poinciana Youth Flag Football League, it’s Board and all coaches, associates and volunteers of any liability whatsoever In connection with any Injuries my child/registrant may sustain as a result of participation in the program sponsored by the SSS&T ENTERPRISES LLC., DBA Poinciana Youth Flag Football League.
PARENTS INITIALS *
DATE *
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HOW DID YOU HEAR ABOUT US? *
DOES YOUR CHILD QUALIFY FOR MEDICAID, SNAP, OR WIC AND CAN YOU SHOW PROOF DATED WITHIN THE LAST 12 MONTHS? IF SO TEXT US (‪407-906-5045) AFTER PAYING THE $25 DEPOSIT AND REGISTERING YOUR CHILD FOR SCHOLARSHIP INFORMATION. SCHOLARSHIP AVAILABILITY IS AWARDED ON A FIRST COME FIRST SERVE BASIS. *
CHOOSE PAYMENT TYPE (PROMO CODE IS FOR PAY IN FULL OPTION ONLY): *
Required
FULL FEE OR ROSTER RESERVATION DEPOSIT MUST BE MADE ON THE NEXT PAGE! THIS REGISTRATION WILL BE DELETED IF PAYMENT IS NOT MADE AFTER SUBMITTING THIS FORM.
 A $40 NON-REFUNDABLE MINIMUM DEPOSIT IS REQUIRED FOR SCHOLARSHIP REGISTRATION AND A MINIMUM OF $75 FOR PAY-LATER REGISTRATION. PAY LATER REGISTRATION TOTAL FEE WILL BE $175 IF NOT PAID BEFORE APRIL 11TH. ALL FEES ARE DUE IN FULL BY NOV 12TH OR A LATE FEE OF $25 WILL INCUR. ALL TRANSACTIONS ARE FINAL AND WE HAVE A NO-REFUND POLICY!

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