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I AGREE TO THE FOLLOWING ...
(Please print for your records)

Parental Waiver
As parent and/or natural guardian of the registered player, I hereby give my full and unconditional consent for participation in the sport of Football. I represent that the player is in good physical condition and suffers from no disability, physical or otherwise, that would impair his ability to play Football or pose a risk to himself or others playing Football. It is understood and agreed that all risk of injury incidental to playing Football are expressly assumed. I hereby release and save harmless the NORTHPORT FOOTBALL CLUB, INC, its officers, directors, coaches, agents, servants, employees and/or volunteers from any claim of injury or damage arising out of and in connection with playing Football.

PLEASE NOTE: ALL REFUNDS SUBJECT TO 10% FEE TO COVER OUR TRANSACTION COSTS. SOME PROGRAMS SUBJECT TO REFUND DEADLINES.

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Contact Information:

NFC welcomes your questions or comments regarding this Statement of Release

 

Northport Football Club, Inc

10 Okleigh Place

Northport, NY 11768

 

Email Address: 

Bwillie1975@gmai.com

 

Telephone Number: 

718-872-8267

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