2016 BRAZOS BOWL SIX MAN ALL STAR FOOTBALL GAME PLAYERS, PLEASE KEEP THIS FIRST SHEET FOR YOUR INFORMATION

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1 2016 BRAZOS BOWL SIX MAN ALL STAR FOOTBALL GAME PLAYERS, PLEASE KEEP THIS FIRST SHEET FOR YOUR INFORMATION Location: Knox City, Texas Date: June 22 25, 2016 Cost: $225/player DEADLINE IS FRIDAY April 15 Make checks out to: Knox City Youth Sports Mail your nomination paperwork/payment to: Coach Steele 201 South Central Knox City, Texas RULES AND GUIDELINES 1. All participants will stay with the team/group at all times and will attend all practices, meals and activities. 2. Players will be responsible for all of their own belongings while participating in the Brazos Bowl. 3. Participants will be able to keep cell phones. We just ask that they be used during appropriate times and in the appropriate manner. 4. Participants are responsible for bringing all football equipment needed for practice and game. We will provide game jersey. 5. Participants/Parents will be responsible for any damages to property that is caused by said participant. They also will be responsible for any and all equipment that is loaned to the participant. 6. A participant that violates any of the rules and guidelines will be sent home at their own expense and the parents will be notified. 7. Participants that do not show up to participate will lose the money that has been paid.

2 BRAZOS BOWL PLAYER RECOMMENDATION THIS FORM IS TO BE FILLED OUT BY THE HIGH SCHOOL COACH OF THE PLAYER THAT WILL PARTICIPATE IN THE BRAZOS BOWL ALL STAR FOOTBALL GAME NO ATHLETE WILL BE ALLOWED TO PARTICIPATE WITHOUT THIS FORM I, (HS Coach), recommend to be a participant in the Brazos Bowl Six Man All Star football game. The above mentioned athlete has participated in the athletic program at my school and is in good standing at this time. I also understand that the athlete will be responsible for bringing all football equipment that is property of School District. By signing below, I am releasing Knox City Youth Sports/Brazos Bowl Committee from any and all liability for damaged or lost equipment. The athlete takes full responsibility for the equipment that is issued to him for the Brazos Bowl Six Man All Star football game. _ COACHES NAME PRINTED COACHES SIGNATURE DATE _ PLAYER NAME PRINTED PLAYER SIGNATURE DATE

3 BRAZOS BOWL PLAYER INFORMATION FORM Name of Athlete School Address City/Zip Home Phone: Cell Phone: E mail:(correspondence by or text only) T Shirt Size: FB Jersey size: FB Number Offensive Positions Defensive Position Coaches Name: Phone Coaches I have read the rules and regulations set forth by the Knox City Youth Sports/Brazos Bowl Committee and understand and agree to comply with these rules and regulations. I understand that failing to comply with these rules and regulations will result in my being sent home. I also agree to pay for any damages to property that I am responsible for while involved with the Brazos Bowl All Star game. Athlete Signature

4 Parent Signature MEDICAL HISTORY FORM The All Star and Parent/Guardian must complete this Medical History form in order for the All Star to participate in any activities. These questions are designed to determine if the All Star has developed any conditions, which would make it hazardous to participate in any athletic event. 1. During the past 12 months: A. Was he hospitalized? YES NO B. Did he have any injuries requiring medical attention? YES NO C. Did he have any illness lasting more than one week? YES NO 2. Does he take medications regularly? YES NO 3. Do you know any reason why there should be limits in his participation in any sport? YES NO 4. Has he ever had a convulsion? YES NO 5. Has he ever had a concussion or been knocked unconscious? YES NO 6. Is he now under a doctor's care? YES NO 7. Is he missing any paired organ (eye, kidney, etc.?) YES NO 8. Is he allergic to any medication? YES NO 9. What year was last tetanus booster given? YEAR Any Yes Answer to questions numbered 1, 4, 5, 6, or 7 requires a written release from a physician. If no release is obtained, the All Star will be required to pass a physical exam (at their own expense) before being allowed to practice. If, between this date and the beginning of All Star practice, any illness or injury should occur that may limit this All Star's participation, I agree to obtain a written release from a physician. Date:

5 Signature of Parent/Guardian Signature of Brazos Bowl Participant ACKNOWLEDGEMENT OF RULES All Star's Name: Address: City and Zip Code: Telephone : ( ) I, hereby, give my consent for the above All Star to participate in the Brazos Bowl practices, activities, and games. I understand that even though protective equipment is worn by the athlete whenever needed, the possibility of an accident still remains. The Knox City Youth Sports/Brazos Bowl Committee assumes no responsibility in case an accident occurs. I have read and understand the Brazos Bowl rules and agree that my son will abide by all of the Brazos Bowl rules and regulations. The undersigned agrees to be responsible for the safe return of all athletic equipment or property issued by the Knox City Youth Sports/Brazos Bowl Committee to above named All Star. If in the judgments of any representative of the Knox City Youth Sports/Brazos Bowl Committee, the above All Star needs immediate care and or treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given to said All Star by any physician, trainer, nurse, hospital, or Knox City Youth Sports/Brazos Bowl Committee representative; and I do hereby agree to indemnify and save harmless the Knox City Youth Sports/Brazos Bowl Committee representative from any claim by any person whomsoever on account of such care and treatment of said All Star. ALL STAR SIGNATURE DATE

6 PARENT SIGNATURE DATE

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