Bermuda Bursary 2025 Registration BFLA Academy Players (8-15yrs) and BFLA Jr. Academy Players (5-7yrs)New or Returning Player(Required) New Player Returning Player Player Name(Required) First Middle Last Age(Required) Date of Birth(Required) MM slash DD slash YYYY Position Athlete Shirt Size(Required) Youth X-Small Youth Small Youth Medium Youth Large Adult X-Small Adult Small Adult Medium Adult Large Adult X-Large Years played for BFLA: BFLA Program SelectionBoth Junior Academy (U7) & Academy Players (U9-U17) programs run from August 2025 through June 2026.Academy Choice(Required) Academy U9 - U15 Registration Junior Academy U7 Registration Parental/Guardian InformationMother/Guardian Name(Required) First Last Email(Required) Cell Phone(Required)Work PhoneHome PhoneFather/Guardian Name First Last Email Cell PhoneWork PhoneHome PhoneList Name of Person(s) Permitted to Collect Athlete Other Than Parents (If Any)Name First Last Relationship to Athlete Email Cell PhoneOther PhoneVolunteer Positions AvailableIf you are interested in volunteering for any of the positions below please mark the boxes with a check.Positions Team Manager Assistant Coach Social Media/Content Signatures, Disclaimers and Terms of AgreementMedical Emergency(Required)I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. I agreeMedical Expenses(Required)I understand that the Bascome Enterprise and/or its Staff will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. I agreePhoto Release(Required)I understand the photos will be used to keep a journal of activities, to share during power point presentations, for promotional purposes including flyers, brochures, newspapers and/or reports to our donor Bascome Enterprise. I agree/disagreeAgree or Disagree(Required) Agree Disagree Terms(Required)The Bascome Enterprise and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. The child’s photos and quotes may be used for publicity purposes. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician). I agreeSignature(Required)By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. First Last Date MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
