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CYO ATHLETIC OFFICE
FOOTBALL UNDERWEIGHT RELEASE
Since our child does not meet the minimum weight requirement, outlined below, of the CYO Football Program, and because of our/my desire to have our/my child _______________________________ (Name), participate on the _______________________________ (Name of Parish) Parish Football Team in the CYO Football Program, I/we, the undersigned participant/parent, on behalf of myself, my heirs, legatees, and assigns, hereby agree to indemnify, save, and hold harmless the Youth and Young Adult Ministry and CYO Office, Catholic Charities Health & Human Services, the Bishop of the Diocese of Cleveland, the Diocese of Cleveland and the above stated parish or any of their agents, representatives, employees or assigns from any and all damages and liability for any injury, medical fees, hospital bills, doctor bills of our/my aforesaid child. I understand that a physician's release is necessary. I also fully understand that my signature absolves, indemnifies, and holds harmless said physician from any and all liability for any injury.
Grade of Participant: Division Participant wishes to play:
Participant's Signature ___________________________________ Date: ___________________
Parent/Guardian Signature ________________________________ Date: ___________________
Parent/Guardian Signature ________________________________ Date: ___________________
I have examined the above child and have found him to be pounds and IS IS NOT to play CYO Football. CIRCLE ONE
Physician's Signature ____________________________________ Date: ___________________
Address ____________________________________________________________________________
STREET CITY ZIP
Phone Number: ___________________________ ____________________________________
OFFICE NUMBER FAX NUMBER
VARSITY MIDDLEWEIGHT DIV.
(Grade - 6, 7 & 8)
1. Any athlete weighing less than 90 lbs. needs to complete this form.
2. No one weighing under 80 lbs is permitted to play.
3. In this division there is unlimited weight for offensive & defensive linemen from tackle to tackle. The maximum weight for all other players is 145 lbs.
4. A three (3) pound growth allowance is given at the end of season CYO Championship.
CADET MIDDLEWEIGHT DIV.
(Grade – 4, 5 & 6)
1. Any athlete weighing less than 65 lbs. needs to complete this form.
2. No one weighing under 55 lbs is permitted to play.
3. In this division there is unlimited weight for offensive & defensive linemen from tackle to tackle. The maximum weight for all other players is 115 lbs.
CADET LIGHTWEIGHT DIV.
(Grade – 4, 5 & 6)
1. Any athlete weighing less than 60 lbs. needs to complete this form.
2. No one weighing under 50 lbs is permitted to play.
3. The maximum weight for all players is 115 lbs.
ELEMENTAL MIDDLEWEIGHT DIV.
(Grade - 4)
1. Any athlete weighing less than 65 lbs. needs to complete this form.
2. No one weighing under 55 lbs is permitted to play.
3. In this division there is unlimited weight for offensive & defensive linemen from tackle to tackle. The maximum weight for all other players is 95 lbs.
*There are no weight restrictions for the Varsity and Cadet COMBINED Football Programs.
Rev. 6/30/08 SHARED/ATHFORMS/UNDE
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