NFL FLAG FOOTBALL PARTICIPATION FORM 2025

Muncie Parks & Recreation/3rd & 11 Inc. NFL Flag Football Registration 2025

DATES OF GAMES 2025: MAY 14TH, MAY 22ND, MAY 28TH AND JUNE 4TH, 2025 GAMES START AT 5:30PM

LOCATION: BALL CORP PARK 2201 S. MACEDONIA AVENUE, MUNCIE, IN 47302

GRADES: K-6TH (CO-ED)

REGISTRATION FEE: FREE REGISTRATION

Student Name

School

Grade

Kindergarten

3rd

6th (12 years)

1st

4th

2nd

5th

Date of Birth

YYYY

Age

Emergency Contact

Relationship to Player

(Mother, Father, Grandparent, etc)

Emergency Contact Phone Number

Participant's Medical History

Physician Name

Physician Phone Number

Does the student have any chronic medical illnesses diabetes, asthma (exercise asthma), kidney problems, etc.?

Yes

Is the student presently taking any medications or pills?

Yes

Does the student have any allergies (medicine, bees or other stinging insects, latex)?

Yes

Football Experience

Check the following that best indicates your child's football experience level:

Beginner (Never played)

Intermediate (Played in a league or game before)

Advanced (Played for multiple years)

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge.

Code of Conduct

I have read and understand the Code of Conduct for the NFL Flag Football Program and will follow the guidelines addressed.

Waiver Release

I agree to hereby forever release and discharge Muncie Parks & Recreation/3rd & 11 Inc. NFL Flag Football Program and it’s partners from injury, claim or demand, which might result from participation of my child in the Flag Football Program in Muncie, Indiana.

Participant Signature

Parent/Guardian Name

Parent/Guardian Signature

Date

YYYY

FREE REGISTRATION
FREE JERSEY AND (1) PAIR OF SOCKS