Youth Flag Football Holmen Youth Football – Grades 3-6 When: Every Tuesday & Thursday starting September 6th and ending October 13th Who: Students entering Grades 3-6 for 2022/23 school year Where: Holmen High School Football practice fields. We will be practicing right along side our Varsity Football TEAM!!! What Time: 5:30-7:00 PM Cost: $85 How to Sign Up & Pay: Click the sign-up button below Deadline to Sign Up: Sept. 5th Who to Contact with questions: Coach Kowalski: 608-780-9781 or holmenfootball1717@gmail.com Who to Contact about Coaching: Coach Kowalski: 608-780-9781 or holmenfootball1717@gmail.com WHO WILL BE COACHING? There will be several volunteer coaches but it will be headlined by two VERY successful former football players!!! Ross Needham Former 1st Team All-State Shrine Bowl Captain WIAA D1 Champion 2X WI Valley 1st Team All-Conference Player 8 Years of Coaching Middle School & Youth Football Bob Jones Former 1st Team All-American College QB Played 4 years (2 time League Champ) in Football League of Europe Over 25 Years College, High School, and Youth Coaching Experience 4 Time Pop Warner Champion in Orange County California What to expect: Foundational Football Drills & Skills (Footwork, Passing, Catching, Ball Security) 7 on 7 games at the end of every practice Play Under the Lights on the Varsity Field on Oct. 13!!! What to bring/wear: Athletic clothes Cleats Water bottle Jersey To sign up for notifications, click the link below for the Grade Your Child will GRADUATE HIGH SCHOOL. We will send out any information via the REMIND APP. 2029203020312032 JERSEYS RUN SMALL IN SIZE. I WOULD RECOMMEND ORDERING AT LEAST ONE SIZE UP. HVF Youth Sign Up 2022 Parent Name(Required) First Last Parent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent Email(Required) Parent Phone(Required)Number of Athletes I wish to Register(Required)123Athlete Name (#1)(Required) First Last Grade Entering for 2022-23 (Athlete #1)(Required)3rd4th5th6thJersey Size (Athlete #1)(Required)Youth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLDesired Jersey Number (Athlete #1)(Required)Please enter a number from 0 to 99.Select a Number 0-99Athlete Name (#2)(Required) First Last Grade Entering for 2022-23 (Athlete #2)(Required)3rd4th5th6thJersey Size (Athlete #2)(Required)Youth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLDesired Jersey Number (Athlete #2)(Required)Please enter a number from 0 to 99.Select a Number 0-99Athlete Name (#3)(Required) First Last Grade Entering for 2022-23 (Athlete #3)(Required)3rd4th5th6thJersey Number (Athlete #3)(Required)Youth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLDesired Jersey Number (Athlete #3)(Required)Please enter a number from 0 to 99.Select a Number 0-99Total Consent(Required)In consideration of participating in sports camp activities, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence Holmen Youth Football and its owners, directors, officers employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows: 1. I acknowledge that participating in sports camp activities involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, broken bones, torn ligaments or other injuries as a result of falls or contact with other participants,; death as a result of drowning or brain damage caused by near drowning in pools or other bodies of water; medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity. 2. I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation. 3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 4. I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition. 5. In the event that I file a lawsuit, I agree to do so solely in the state where Releasees’ facility is located, and I further agree that the substantive law of that state shall apply. 6. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 7. I hereby grant permission to Releasees to take photographs or videos of me during my participation in Holmen Youth Tackle Football. I further grant to the producers and their representatives the right to reproduce, use, exhibit, display, broadcast and distribute and create derivative works of these images and recordings in any media now known or later Developed. I acknowledge that Holmen Youth Football owns all rights to the images and recordings. I hereby waive any right to inspect or approve the use of the images or recordings or of any written copy. I further waive all moral rights. I also waive any right to royalties or other compensation arising from or related to the use of the images, recordings, or materials. I hereby release, defend, indemnify and hold harmless the producers from and against any claims, damages or liability arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use in composite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution. By signing this document, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms. I agree to the release of liabilityAuthorized Signature(Required) By typing your first and last name above you are authorizing a e-signature for the consent and release of liability Δ