Registration - 2025 Athlete Application
2025 Athlete Application

ATHLETES

 

Registration for Private Workout

 

Feel overlooked but are willing to do what it takes to get to the next level? Utah Islanders football program supports your academic or professional athletic pathway. Complete this form so our coaches can get in touch. Let's get to work!

 

 

L.A.B. (LIife After Ball) Pathways

Ti Kinikini

ti@utahislanders.com

 

Athletic Performance

Ethan Wright

ethanw@utahislanders.com

 

General Manager

Trevor Reilly

trevorr@utahislanders.com

Name
Address
City, State Zip
Phone
Email
Confirm Email
Date of Birth
Desired Position
Graduation Year
Height (feet)
Height (inches)
Weight (lbs)
Do You Have Health Insurance
If Yes - Name of Health Insurance Company
Emergency Contact : Name (first / last)
Emergency Contact Phone ###-###-#### (please double check for accuracy)
Sizing / Uniform Info
Uniform # (first choice)
Uniform # (second choice)
Uniform # (third choice)
Helmet Size
Uniform Top
Uniform Pants
Workout Shirt
Workout Shorts
Shoe Size
Getting To Know You
Hometown
Most Recent Level of Football Played
Name of Most Recent Team / School / Program
Twitter (COPY/PASTE link to profile)
Instagram (COPY/PASTE link to profile)
HUDL (COPY/PASTE link to profile)
Do you want to pursue academics beyond high school? - Why or Why Not?
How are you utilizing football for your future?
Why do you want to join the Utah Islanders?
What aspect of the game do you want to develop with our program?
Headshot / Profile Picture
How did you hear about us?
If you selected referral, who told you about us? (First and Last name, if possible)
Comments

Acknowledgment of Risks and Waiver of Liability

 

I, the applicant named in this registration form, hereby acknowledge that I am voluntarily participating in the Utah Islanders training session. I recognize that the training involves physical activity and inherent risks which may cause serious injury or even death. I affirm that I am in good health and physically capable of engaging in this activity.

 

In consideration of being permitted to participate in the training session, I agree to assume all risks and responsibilities surrounding my participation. I hereby release, waive, discharge, and covenant not to sue the Utah Islanders, its directors, officers, employees, volunteers, agents, and any other participants (collectively "Releases") from all liability to me, my personal representatives, assigns, heirs, and next of kin for any loss, damage, and any claim or demands on account of injury to my person or property or resulting in my death, whether caused by the negligence of the Releasees or otherwise while I am participating in the training session.

 

Photography and Video Release

 

I grant the Utah Islanders and its agents the right to photograph and/or videotape me and further utilize my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation. I waive any right to inspect or approve the finished version(s), including written copy that may be created in connection therewith.

 

Utah Islanders Website

 

http://www.utahislanders.com

I have read and agree to all terms and conditions above