Flag Football Form

NEW FOR 2026!! Flag Football is expanding to include the teams of East Atchison, Mound City and South Holt. Rock Port will host games but will also travel to the other towns in the league. Games will likely be held on Saturday mornings starting mid-September running through October. Travel will be the responsibility of the parent/guardian.

Entry Fee: $15 per participant

Jerseys not included but we are working with potential sponsors. Entry fee helps cover liability insurance, equipment and facilities costs

Eligibility: Rock Port R-II Boys and Girls currently in Kindergarten thru 6th grade. *Note – 6th graders who play Junior High Football are ineligible for RPYAA Flag Football, per MSHSAA guidelines.

Clothing: Athletic pants or shorts, tennis shoes or molded cleats (no metal cleats)

Participant Name *

Grade *

Shirt Size *

Parents: We need your help to ensure this year’s program can happen. Please indicate where you can help your kids.Coach (Need 4 Coaches for each of the 3 divisions (K-1st, 2nd-3rd, 4th-5th))Game Referee (Need 4 referees for each game day)Field Prep (Need 2 for each game day)

Please read the attached waiver and confirm that you have read it: *

Yes, I have read and acknowledge the Release, Indemnification, and Hold Harmless Agreement.

Confirm that you consent to the following: *

In consideration of the participant listed above being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.

Please sign YOUR name, acknowledging that you have read the waiver: *

Please select today's date: *

Month *

Day *

Year *

Your Email Address *

Your Phone Number *