Kickoff Classic Recreation Soccer Tournament Tinsley Park Bossier City, La. May 6-7, 2017 www.bossierathletics.org Age Divisions: Coed: 6U Boys: 8U, 10U, 12U, 14U, 16U, 18U Girls: 8U, 10U, 12U, 14U, 16U, 18U Registration Details: Team Registration Fee: $275.00 (6U and 8U) $375.00 (10U, 12U, 14U, 16U, 18U) Player registration deadline is May 2, 2017. Registration Includes: 3 Game Guarantee Tournament 3 Coaches Passes Medals for each player on the 1st and 2nd place teams in each division 1 Large 1st Place Trophy Mail check or money order along with all forms to: Bossier Athletics 523 Fox Cove Haughton, LA 71037 Gate Admission: $5.00, 12 and under free. Any questions or concerns please email us at
[email protected] Inclement Weather Clause
In the event of weather severe enough to cancel games, your organization or team will be refunded 50 % of the registration fee paid to enter the Bossier Athletics Kickoff Classic. If the severe weather is only for a short time, your game will be temporarily postponed until the weather passes. We will do everything possible to reschedule your game for the same day. In the event that your team/organization chooses not to play at the rescheduled time, you understand that 100 % of your registration fee will be forfeited. I have read and agree to this inclement weather clause for the Bossier Athletics Kickoff Classic Head Coach Name Printed: ___________________________________________________ Head Coach Signature: ______________________________ Date: ___________________
Official Bossier Athletics Kickoff Classic Roster 2017 Team Roster The roster will be used for verifying ages, completing schedules, and award presentation. No additional players may be added without consent of the Bossier Athletics director prior to game time. Team Name: _________________________ Age Group: ___________ 3 Coaches Passes (please print names) Head Coach: ____________________________ Assistant Coaches: 1.______________________ 2.______________________ Jersey #
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Player Name-Please Print
DOB
Age on April 30, 2017
Bossier Athletics Kickoff Classic Release Form By signing the form below, I, the parent or guardian of the below named child, Recognize the possibility of injury or illness, and in consideration for Bossier Athletics accepting my son/daughter, as a player in the programs and activities of Bossier Athletics and its members (the "Programs"), I consent to my son/daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify Bossier Athletics, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter’s participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs. My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer or football. I have provided written notice, which is submitted in conjunction with this release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment. I am held responsible if my child is injured in this program and all related activities. I understand the risks involved in the sport and will use my own insurance in the event of any medical treatment.
Bossier Athletics Kickoff Classic Release Form Signature Page
Team: __________________ Age: _____ Coach: ________________
Players Name-Print Please
Parent Signature
Bossier Athletics Kickoff Classic Coaches Information Sheet Thank you for your interest in the Bossier Athletics Kickoff Classic. We are looking forward to some great soccer games. The following items are some things to take note of: Directors: Ronnie Coker and Stephen Boyd Office Number: 318-549-7267 Fax Number: 318-549-5093 Email:
[email protected],
[email protected] Cell: Ronnie - 318-207-1949, Stephen - 318-470-6794 Coaches Each team will receive 3 Coaches Passes Your team must be on the field or checked in within 15 minutes of your game start time or it is considered a forfeit.
Team Information Team Name: __________________________ Age Group: _________ Head Coach: ______________________________ Cell #: ________________________ Email: _______________________________________________________________________ Alternate person you would like to receive updates: Name: _______________________________________________________________________ Email: _______________________________________________________________________