GACA All Star Flag Football Packet DETAILSCongratulations on being selected to participate in the 2023 Atlanta Falcons/GACA All-Star Flag Football Games being played on December 16, 2023. The games will take place at Atlanta Falcons Training Facility, 4400 Falcon Parkway, Flowery Branch, GA 30542. You are among the best in Georgia High School Flag Football! Below is the information you need to participate in this event. Please call the GACA Office if you have any questions- 770-578-6366 or 912-424-9827. We are very excited to work with you - the best of the BEST at your position! See You on December 16, 2023! All forms must be submitted online.PaymentThe GACA All Star Flag Football provides food, athletic gear, video exposure for recruiting, awards, and insurance for the participating athlete. There is a $160.00 participation fee to help cover the cost of the event which may be paid by the school, booster club, parent/guardian, and/or combination of those mentioned. If paying online, please click the submit button once. You will be directed to S2Pass for payment. https://fans.s2pass.com/ Who will be paying?*Select OneSchoolPlayer FamilyBooster ClubType of Payment?*Select OneOnlineBy MailAll-Star Commitment Fee* Price: Total $0.00 MEDICAL / PHYSICALPlease upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here. A parent can take a picture of their child's physical and upload it below...either from their computer or phone (it must be in .pdf or .jpeg format--no movies).Player Physical*Please upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here.Max. file size: 12 MB.PLAYER INFORMATIONPlayer Picture*Please upload a .jpeg or .png fileMax. file size: 12 MB.Player Name* First Last Email* Address*This is the address where your picture will be sent. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player Cell Phone*Class*Select Your Class2024 (Senior)2025 (Junior)2026 (Sophomore)Date of Birth* MM slash DD slash YYYY High School*City of High School*Weight*Height*Shirt Size*Select OneMediumLargeExtra Large2X3X4XShort Size*Select OneMediumLargeExtra Large2X3X4XAre you currently committed to any academic institutions?*Will you attend college if you do not have a scholarship?*Select OneYesNoWhere will you attend?*Do you have asthma or allergies?*Select OneYesNoPlease explain*Do you have diabetes?*Select OneYesNoCoach's Name* First Last Coach's Email* Coach's Cell Phone*PARENT/GUARDIAN INFORMATIONParent/Guardian Name* First Last Email* Parent/Guardian Cell Phone*Parent/Guardian Twitter HandleParent/Guardian #2 Name First Last Parent/Guardian #2 Email Parent/Guardian #2 Cell PhoneParent/Guardian #2 Twitter HandleAre you covered by insurance?*Select OneYesNoInsurance Company*Group Number*Policy Number or Branch of Service*Is your child allergic to any medicine?*Select OneYesNoPlease list*Is your child taking any medications?*Select OneYesNoPlease list*Please list any serious injuries, illness or circumstances we should be aware of before administering care:*Enter N/A is this does not apply to youEMERGENCY CONTACTEvery attempt will be made to contact you in case of injury. Should this not be possible or practical, please list the name of a relative who can authorize treatment.Name* First Last Relation*Phone*SIGNATURES/ATTESTATIONSPlayer Attestation* I hereby accept the Georgia Athletic Coaches Association's invitation to play in the 2023 ATLANTA FALCONS/GACA ALL-STAR FLAG FOOTBALL Games being held at Atlanta Falcons Training Facility, 4400 Falcon Parkway, Flowery Branch, GA 30542. I agree to abide by the rules and disciplines set forth by the officials of the Georgia Athletic Coaches Association. I understand that I am to report on December 16, 2023 @ 10:00 AM to Flowery Branch High School. The 2023 ATLANTA FALCONS/GACA ALL- STAR FLAG FOOTBALL Games will be played on December 16, 2023. Parent Attestation* I hereby give my consent for the student named above to engage in approved sports activities, related to the 2023 ATLANTA FALCONS/GACA ALL-STAR FLAG FOOTBALL Games. It is my clear understanding that participation in athletics activities (e.g. football, FLAG FOOTBALL, and softball) creates a risk normally associated with such activity. I agree not to hold the Georgia Athletic Coaches Association or anyone acting on its behalf responsible for any injury occurring to my son/daughter in the proper course of such athletic activities or travel. I further give my permission for the appropriate all-star association staff members or their designees (physicians, athletic trainers, student trainers, coaches) to render emergency treatment or authorize medical treatment by a hospital and/or physician or medical staff. Player Signature*Parent/Guardian Signature*
