2012 Bleed Blue Blood Drive Youth Football Clinic

Thank you for your interest in attending the 2012 Bleed Blue Blood Drive Youth Football Clinic on Saturday, December 8, from 10 - 11 a.m. at Lucas Oil Stadium. This clinic is free and open to the public. As a part of the NFL’s PLAY 60 initiative, the Indianapolis Colts encourage youth to engage in at least 60 minutes of activity each day. The Bleed Blue Blood Drive Youth Football Clinic is designed for children, ages 7-11, to be active through fun, football-related fitness drills.

To participate in this clinic, parents/guardians must register their child(ren) through the online form below. Online registrations are being accepted until Friday, November 30.

Please note that registration is limited to the first 200 guests. You will receive an e-mail by Wednesday, December 5 to notify you if your participation is confirmed.

* Required Field
Parent/Guardian Information
Camper Information #1
Camper Information #2
(if applicable)
Camper Information #3
(if applicable)

WAIVER & RELEASE LIABILITY FORM

PLEASE READ THE FOLLOWING CAREFULLY AND ELECTRONICALLY SIGN BELOW:

In return for my child/children being allowed to participate in the Bleed Blue Blood Drive Youth Football Clinic on December 8, 2012, I release, and agree not to sue, the Indianapolis Colts, Inc., the National Football League and its member clubs, their respective employees, contractors, officers, owners, sub-contractors, sponsors, agents, and affiliates (collectively the “Released Parties”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my child/children’s participation in the Bleed Blue Blood Drive Youth Football Clinic including, without limitation, claims caused by the ordinary negligence of any of the Released Parties, wherever, whenever, or however the damage, injury, or death may occur. I understand and agree that the Released Parties are not responsible for any injury or property damage arising out of or in any way related to the Bleed Blue Blood Drive Youth Football Clinic, even if caused by their ordinary negligence. I further agree to indemnify the Released Parties for any claims made by, or on behalf of, my child/children for any claim of property damage, personal injury, or wrongful death arising as a result of my child/children’s participation in the Bleed Blue Blood Drive Youth Football Clinic. Such indemnity extends to the costs of defending or settling a claim made against a Released Party (including, without limitation, reasonable attorney’s fees). I understand that participation in the Bleed Blue Blood Drive Youth Football Clinic involves certain risks, including, but not limited to, those of serious injury or death. My child/children is/are voluntarily participating in the Bleed Blue Blood Drive Youth Football Clinic with knowledge of the danger involved and agrees/agree to accept and assume all risks of participation in the Bleed Blue Blood Drive Youth Football Clinic and all related activities. The Indianapolis Colts has not undertaken to determine whether my child/children has any medical condition that can cause my child/children to be unfit to participate, and I acknowledge that the Indianapolis Colts has no duty to do so. I agree to let the Indianapolis Colts use my child/children’s likeness, name, portrait, recorded voice, and biographical material, free of charge, to advertise, promote, and publicize, but not as an endorsement of any product or service of any advertiser. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the State of Indiana and agree that if any portion of this agreement is invalid, the remainder will continue in full legal force and effect. I further agree that any legal proceedings related to this waiver will take place in Indianapolis, Indiana. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.

Parent/Guardian Signature: (By typing your name, birth date and last 4-digits of your Social Security Number, you have electronically agreed to the waiver terms above).

I affirm under the penalties for perjury that I am the person I have represented myself to be and have the authority to execute this instrument.

Notice: The foregoing personal identification information will not be used or shared for any purposes outside of the requirements of the Indianapolis Colts and Bleed Blue Blood Drive Youth Football Clinic.