2017 Spring Season â Registration Form PO Box 157
2017 Spring Season – Registration Form PO Box 157 DEADLINE: Saturday, March 4th Players Name: ate is required during registration ** Street Address:
Belpre, OH 45714 Sex:
M
www.belpresoccerclub.com
F
co Birth Date:
City, State:
Zip:
Home Phone:
E‐mail Address:
Father/Guardian: Mother/Guardian:
Phone(s): Phone(s):
___y of
Please note we try to keep teams balanced fairly to the best of our ability. Any false information will void the registration. Ohio guidelines require us to limit the number of kids per team that play on the same SCHOOL teams. Please be honest and descripti ve to the best of your ability. Previous experience? Yrs. Where? (Please note where your child has played, especially school and travel teams) Help us rate your child so we can attempt to make teams more even. Please circle how you would rate them: Average Travel team School player New player Above Average Below average Registration Fee: $45 for one child, $80 for two, $120 for three and $160 for four. Payment is due with registration form (or via credit card on website) by the deadline, March 4th. Registrations received after th March 4 will be charged a $5 late fee and placed as space allows. Please mail form w/payment to: Belpre Soccer Club, PO Box 157 Belpre, OH 45714 Forms may also be filled out online and paid w/credit card at Belpr esoccerclub.com
US SOCCER has mandated new age group requirements. Age groups are now based on the Calendar year your child was born. Calendar year is January 1 – December 31st. U6: children born during the years of 2011 & 2012 U8: children born during the years of 2009 & 2010 U10: children born during the years of 2007 & 2008 U12: children born during the years of 2006 & 2005 U15: children born during the years of 2002, 2003, & 2004 U18: children born during the years of 1999, 2001, & 2001 Do you wish to move your child up an age group? Yes No (pending league approval) Above average players with at least one season in their assigned age group can move up with league approval Shirt Size (please circle):
YS (6‐8)
YM (10‐12)
YL (14‐16)
Adult:
S
M
L
XL
2X
You may add a child’s name to the back of the shirt for an additional $5 __________________________________________ Comments and requests. Requests CANNOT BE GUARANTEED except for siblings. Coaches are made aware of your requests. In order to promote fairness, car pool requests are not guaranteed, nor requests made to be coach’s assistants.
---------------------------------------------PLEASE
SEE REVERSE SIDE---------------------------------------------------
List any medical issues or prohibition player has: Emergency Contact:
Phone:
Siblings playing?__________________________ Sibling’s Name _________________________________________ Parental Support/Volunteer (circle all that apply): Coach Assistant Coach Mowing Referee Concessions **********All head coaches will receive one child registration free on the team they coach.************ All questions regarding registrations should be directed to the League Registrar, Dan Matheny, at [email protected] or by calling 304-482-7968 (cell). PLEASE LEAVE A MESSAGE AND ALL CALLS WILL BE RETURNED WOULD YOU BE INTERES TED IN PARTICIPATING IN A TRAVEL/ALL STAR TEAM? YES _________ NO ________
FORM MUST BE SIGNED OR IT WILL BE RETURNED: I, the parent/guardian of the registrant, a minor, or adult registrant of legal age, agree that I and the registrant abide by the rules of the Belpre Soccer Club, its affiliated organization and spon sors. Recognizing the possibility of physical injury associated with soccer and in consideration for the BSC accepting the registrant for soccer programs and activities, I hereby release, discharge and/or otherwise indemnify the BSC, its affiliated organizations, their employees and associated personnel, including owners of the fields and facilities utilized for the programs against any claim by or on behalf of the registrants participation in the program and/or being transported to or from the same, which transportation I h ereby authorize. SIGNATURE OF PARENT/GUA RDIAN:
DATE:
Important Dates: Registrations due by: --------------------- Saturday, March 4th -----------------------------th
Draft day - COACHES ONLY (players to be called within following 48-72 hours): Fri & Sat March 10 & 11th First Games:
Saturday, April 1st
Closing Day: Thur, Fri, & Sat. May 25, 26, & 27
Belpre Soccer Club Code of Conduct The Belpre Soccer Club believes that ALL PEOPLE involved in the game, including coaches, parents, officials, and spectators should lead by example, by acting in a positive and appropriate manner at all times. In an effort to make soccer events at Belpre Soccer Club a more desirable and rewarding experience for all participants we encourage all parents, coaches, referees and spectators to behave in a manner of good sportsmanship. No profanity will be tolerated. Please treat others in the manner in which you wish to be treated yourself. Please, we ask of all parents and their guests, refrain from “coaching” from the sidelines. Please no yelling and or pacing and “interfering” with the enjoyment of the game by others. I (and my guests) will be a positive role model for my child and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or event help at the Belpre Soccer Club. I have read and understand the Code of Conduct and agree that if I (or my guests) fail to abide by the Rules and Guidelines, I or my guests will be subject to disciplinary action, including verbal warnings and removal from game. I agree all information is correct to the best of my knowledge. False registrations will be voided and a new one must be submitted. Parent / Guardian ____________________________________ Date ____________________ Parent / Guardian ____________________________________ Date ____________________
If there are dates your child will be unavailable due to vacations, or travel team/school activities, please list here: ____________________________________________________________________________________
Belpre, OH 45714 Sex:
M
www.belpresoccerclub.com
F
co Birth Date:
City, State:
Zip:
Home Phone:
E‐mail Address:
Father/Guardian: Mother/Guardian:
Phone(s): Phone(s):
___y of
Please note we try to keep teams balanced fairly to the best of our ability. Any false information will void the registration. Ohio guidelines require us to limit the number of kids per team that play on the same SCHOOL teams. Please be honest and descripti ve to the best of your ability. Previous experience? Yrs. Where? (Please note where your child has played, especially school and travel teams) Help us rate your child so we can attempt to make teams more even. Please circle how you would rate them: Average Travel team School player New player Above Average Below average Registration Fee: $45 for one child, $80 for two, $120 for three and $160 for four. Payment is due with registration form (or via credit card on website) by the deadline, March 4th. Registrations received after th March 4 will be charged a $5 late fee and placed as space allows. Please mail form w/payment to: Belpre Soccer Club, PO Box 157 Belpre, OH 45714 Forms may also be filled out online and paid w/credit card at Belpr esoccerclub.com
US SOCCER has mandated new age group requirements. Age groups are now based on the Calendar year your child was born. Calendar year is January 1 – December 31st. U6: children born during the years of 2011 & 2012 U8: children born during the years of 2009 & 2010 U10: children born during the years of 2007 & 2008 U12: children born during the years of 2006 & 2005 U15: children born during the years of 2002, 2003, & 2004 U18: children born during the years of 1999, 2001, & 2001 Do you wish to move your child up an age group? Yes No (pending league approval) Above average players with at least one season in their assigned age group can move up with league approval Shirt Size (please circle):
YS (6‐8)
YM (10‐12)
YL (14‐16)
Adult:
S
M
L
XL
2X
You may add a child’s name to the back of the shirt for an additional $5 __________________________________________ Comments and requests. Requests CANNOT BE GUARANTEED except for siblings. Coaches are made aware of your requests. In order to promote fairness, car pool requests are not guaranteed, nor requests made to be coach’s assistants.
---------------------------------------------PLEASE
SEE REVERSE SIDE---------------------------------------------------
List any medical issues or prohibition player has: Emergency Contact:
Phone:
Siblings playing?__________________________ Sibling’s Name _________________________________________ Parental Support/Volunteer (circle all that apply): Coach Assistant Coach Mowing Referee Concessions **********All head coaches will receive one child registration free on the team they coach.************ All questions regarding registrations should be directed to the League Registrar, Dan Matheny, at [email protected] or by calling 304-482-7968 (cell). PLEASE LEAVE A MESSAGE AND ALL CALLS WILL BE RETURNED WOULD YOU BE INTERES TED IN PARTICIPATING IN A TRAVEL/ALL STAR TEAM? YES _________ NO ________
FORM MUST BE SIGNED OR IT WILL BE RETURNED: I, the parent/guardian of the registrant, a minor, or adult registrant of legal age, agree that I and the registrant abide by the rules of the Belpre Soccer Club, its affiliated organization and spon sors. Recognizing the possibility of physical injury associated with soccer and in consideration for the BSC accepting the registrant for soccer programs and activities, I hereby release, discharge and/or otherwise indemnify the BSC, its affiliated organizations, their employees and associated personnel, including owners of the fields and facilities utilized for the programs against any claim by or on behalf of the registrants participation in the program and/or being transported to or from the same, which transportation I h ereby authorize. SIGNATURE OF PARENT/GUA RDIAN:
DATE:
Important Dates: Registrations due by: --------------------- Saturday, March 4th -----------------------------th
Draft day - COACHES ONLY (players to be called within following 48-72 hours): Fri & Sat March 10 & 11th First Games:
Saturday, April 1st
Closing Day: Thur, Fri, & Sat. May 25, 26, & 27
Belpre Soccer Club Code of Conduct The Belpre Soccer Club believes that ALL PEOPLE involved in the game, including coaches, parents, officials, and spectators should lead by example, by acting in a positive and appropriate manner at all times. In an effort to make soccer events at Belpre Soccer Club a more desirable and rewarding experience for all participants we encourage all parents, coaches, referees and spectators to behave in a manner of good sportsmanship. No profanity will be tolerated. Please treat others in the manner in which you wish to be treated yourself. Please, we ask of all parents and their guests, refrain from “coaching” from the sidelines. Please no yelling and or pacing and “interfering” with the enjoyment of the game by others. I (and my guests) will be a positive role model for my child and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or event help at the Belpre Soccer Club. I have read and understand the Code of Conduct and agree that if I (or my guests) fail to abide by the Rules and Guidelines, I or my guests will be subject to disciplinary action, including verbal warnings and removal from game. I agree all information is correct to the best of my knowledge. False registrations will be voided and a new one must be submitted. Parent / Guardian ____________________________________ Date ____________________ Parent / Guardian ____________________________________ Date ____________________
If there are dates your child will be unavailable due to vacations, or travel team/school activities, please list here: ____________________________________________________________________________________
