FFY-Portsmouth, NH

Portsmouth, NH

DATE TBD
Registration Info TBD
ffy
LOCATION:
Portsmouth High School
50 Andrew Jarvis Dr.
Portsmouth, NH 03801

 

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FFY-Portsmouth: Parental/Guardian Information

First Name *
Last Name *
Phone Number*
Email *
Street Address *
City *
State *
Zip Code *

How many children will you be registering?

Parental/Guardian Consent

This waiver/release of liability must be consented to (see signature box) before the child begins participation at Gillette Stadium or any other related facility (the “Site”). Children without this waiver on record will not be allowed to participate. Parental/Guardian consent: I am the parent or legal guardian of the above named applicant and verify that he/she is in good health and has my permission to participate in the New England Patriots Alumni Club / New England Patriots Charitable Foundation Football Clinic (the “Clinic”). In return for my child being allowed to participate in the Clinic, I agree to indemnify and hold harmless the Site owner, any individual working on behalf of the Site location, the National Football League, its member professional football teams, NFL Properties LLC, NFL Ventures LP, New England Patriots LLC, NPS LLC, New England Patriots Alumni Club, Inc., The New England Patriots Charitable Foundation, Inc., Foxboro Realty Associates LLC, and their respective affiliates, members, partners, owners, directors, employees, shareholders, subcontractors, sponsors, attorneys, agents, representatives and all their successors and assigns, and all others in any way associated with the Clinic (the “Released Parties”) from all present and future claims that may be made by me, my family, estate, heirs or assigns for property damages, personal injury, or wrongful death arising as a result of my child’s participation in the Clinic, even if caused by the negligence or gross negligence of any of the Released Parties, wherever, whenever, or however the same may occur. I understand and agree that the Released Parties are not responsible for any injury or property damage arising out of the Clinic, even if caused by any of their negligence or gross negligence. I understand that participation in the Clinic involves certain risks, including but not limited to serious injury and death. I am voluntarily allowing my child to participate in the Clinic with knowledge of the danger involved and agree to accept all risks of participation in the Clinic and all related activities. I give my consent for my child to be administered first aid and/or treated by an emergency medical technician/paramedic, nurse or physician. Any follow up medical attention may be given at a local hospital and transportation to a local hospital is authorized. I hereby give consent for my child to be interviewed and/or photographed by the media. I further agree to let the Released Parties use my child’s name, photo, likeness and demographic information, without compensation, in any manner and for any purpose in any media now known or hereafter created. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Massachusetts and agree that if any portion of this agreement is held to be invalid, the remainder will continue in full force and effect.

I confirm that I have read and agree to the terms of the parental/guardian consent.


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    New England Patriots Alumni Club, Inc. has received a determination from the Internal Revenue Service that it is a tax-exempt organization under section 501(c)(3) of the Internal Revenue Code. Contributions to New England Patriots Alumni Club, Inc are tax-deductible to the extent permitted by law.

    IRS Determination of 501(c)(3) Status