CUMBERLAND VALLEY YOUTH BASKETBALL ASSOCIATION
CUMBERLAND VALLEY YOUTH BASKETBALL ASSOCIATION 2015-2016 REGISTRATION FORM
Registration Closes 11/25
Please complete or validate all information in each section:
PLAYER INFORMATION Last name:
Birth date:
Grade:
First name:
Home phone:
Address:
Father’s name:
Sex m/f:
Phone:
City:
Email: Zip:
Mother's name: Township:
Phone:
School:
Email:
WE WILL HELP in the following areas (Indicate which parent by using ‘F’ for Father, ‘M’ for Mother; ‘B’ for Both): _____ Coordinator _____ Head Coach _____ Referee _____ Events (Registration, Pictures, Awards) _____ Assistant Coach _____ Team Parent TH
6
TH
THROUGH 12
SHIRT:
Adult:
GRADE (circle shirt size)
S
M
L
XL
XXL XXXL
SIBLING INFORMATION
Name:
th
None (8 grade/HS only)
Emergency Contact:
Phone:
(when parents are not available)
Fee per family with children in grades 2 thru 12:……………………………….…… __________ 1st grade, 6th grade, 7th grade, 8th grade, and High School players do not get shorts. Returning 8th grade and High School players get a $5 credit for using last season’s mesh jersey There is no late fee for late first grade registrations Registration closes 11/25.
1 CHILD - $120 2 CHILDREN - $200 3 CHILDREN - $265 4+ CHILDREN - $340
Credit per child for reuse of mesh jersey in grades 8 thru 12: ........... - $5 .......... __________ Travel Tryout Fee (only if child is interested in playing travel): ..... $5 .......... __________ (non-refundable)
Late fee per child, grades 2 thru 12, after 9/27: ................................ $25 .......... __________ st
Fee per child for 1 grade clinic: ........................................................ $20 .......... __________ Check #: _______
TOTAL: __________
Please list any relevant MEDICAL HISTORY:
I authorize my child to participate in CVYBA. I realize that basketball is a contact sport and have ensured that my child has no medical problems that would prevent participation. I release CVYBA and Cumberland Valley School District from all claims and liabilities arising from participation in the program. In the event of injury, I authorize my child's coach to arrange for any necessary medical treatment. I sign this release on behalf of my child and my spouse, if any.
I have read the CVYBA Code of Conduct (found on back), and agree to abide by it.
______ Initials
Parent/Guardian Signature: __________________________________________
DATE: ___________
CVYBA CODE OF CONDUCT WINNING THE GAME IS ALWAYS SECONDARY TO GOOD SPORTSMANSHIP CVYBA exists to promote, develop and teach player participants and adult volunteers the principles of GOOD CHARACTER, PHYSICAL HEALTH, TEAMWORK, SPORTSMANSHIP, DISCIPLINE and FAIR PLAY.
THIS CODE OF CONDUCT MUST BE ADHERED TO BY ALL PLAYERS, COACHES, ADULT VOLUNTEERS, REFEREES AND SPECTATORS. CVYBA THANKS YOU FOR YOUR SUPPORT All parents, players, and coaches will abide by the following Code of Conduct:
I will learn the rules of the game and the policies of the league. I will respect the school premises where games are played, including cleaning up after myself and my team when done. This includes putting chairs away, returning baskets to default height, and returning the school to the condition we found it. I will not leave any child alone while on school premises, including no roaming of hallways and no unattended children in the bathrooms. I will not take food or drink into any of the gyms. I will not force my child to participate in sports. I will remember that children participate to have fun and learn, and that the game is for youth, not adults. I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of 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 sporting event. I (and my guests) will not engage in any kind of physical, mental, and verbal abuse of any official, coach, player, or parent such as booing and taunting, refusing to shake hands, or using profane language or gestures. I will not encourage any behaviors or practices that would endanger the health and well-being of the players. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence. I will demand that my child treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability. I will teach my child that doing one's best is more important than winning, so that my child will never feel defeated by the outcome of a game or his/her performance. I will praise my child for competing fairly and trying hard. I will never ridicule or yell at my child or other participants for making a mistake or losing a competition. I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and I will refrain from their use at all sports events.
I will emphasize skill development and practices and how they benefit my child over winning. I will also de-emphasize games and competition in the lower age groups. I will promote the emotional and physical well-being of the players ahead of any personal desire I may have for my child to win. I will respect the officials and their authority during games and will never question, discuss, or confront coaches on the court, and will take time to speak with coaches at an agreed upon time and place. I will, when winning by more than 15 points, show mercy to the other team by requiring 5 passes before a shot, by only letting kids who don’t score a lot shoot, by practicing offenses, and/or by using other techniques to keep the game from being a blowout. I will refrain from coaching my child or other players during games and practices, unless I am one of the official coaches of the team. As a coach or parent, I will never leave an adult alone working at or overseeing an activity. If a child needs special attention (one-on-one training or an individual meeting), it will be handled with the assistance or presence of another adult. As coach, I will complete required background clearance forms. As coach, I recognize that inappropriate touching is forbidden, and I will not do it. As coach, I will never ride alone with another family’s child or player in the car, and will establish procedures to follow in the event a player is stranded at an activity. As a parent, I will attend all sponsored activities. As a team parent, I will assist coaches and coordinators to help provide a positive league experience for all families. As a coach or parent, I will make sure players are wearing CVYBA uniforms: (a) Grades 8 and below wear CVYBA shorts and provided jerseys; (b) HS grades wear provided jerseys and thigh-or-below shorts (e.g. no short shorts) I will help coordinators enforce CVYBA rules, including dress, off stages, only water drinks, etc. As a coach if I am given a technical foul due to unsportsmanlike conduct I will be ejected from the game and required to leave the school immediately.
Registration Closes 11/25
Please complete or validate all information in each section:
PLAYER INFORMATION Last name:
Birth date:
Grade:
First name:
Home phone:
Address:
Father’s name:
Sex m/f:
Phone:
City:
Email: Zip:
Mother's name: Township:
Phone:
School:
Email:
WE WILL HELP in the following areas (Indicate which parent by using ‘F’ for Father, ‘M’ for Mother; ‘B’ for Both): _____ Coordinator _____ Head Coach _____ Referee _____ Events (Registration, Pictures, Awards) _____ Assistant Coach _____ Team Parent TH
6
TH
THROUGH 12
SHIRT:
Adult:
GRADE (circle shirt size)
S
M
L
XL
XXL XXXL
SIBLING INFORMATION
Name:
th
None (8 grade/HS only)
Emergency Contact:
Phone:
(when parents are not available)
Fee per family with children in grades 2 thru 12:……………………………….…… __________ 1st grade, 6th grade, 7th grade, 8th grade, and High School players do not get shorts. Returning 8th grade and High School players get a $5 credit for using last season’s mesh jersey There is no late fee for late first grade registrations Registration closes 11/25.
1 CHILD - $120 2 CHILDREN - $200 3 CHILDREN - $265 4+ CHILDREN - $340
Credit per child for reuse of mesh jersey in grades 8 thru 12: ........... - $5 .......... __________ Travel Tryout Fee (only if child is interested in playing travel): ..... $5 .......... __________ (non-refundable)
Late fee per child, grades 2 thru 12, after 9/27: ................................ $25 .......... __________ st
Fee per child for 1 grade clinic: ........................................................ $20 .......... __________ Check #: _______
TOTAL: __________
Please list any relevant MEDICAL HISTORY:
I authorize my child to participate in CVYBA. I realize that basketball is a contact sport and have ensured that my child has no medical problems that would prevent participation. I release CVYBA and Cumberland Valley School District from all claims and liabilities arising from participation in the program. In the event of injury, I authorize my child's coach to arrange for any necessary medical treatment. I sign this release on behalf of my child and my spouse, if any.
I have read the CVYBA Code of Conduct (found on back), and agree to abide by it.
______ Initials
Parent/Guardian Signature: __________________________________________
DATE: ___________
CVYBA CODE OF CONDUCT WINNING THE GAME IS ALWAYS SECONDARY TO GOOD SPORTSMANSHIP CVYBA exists to promote, develop and teach player participants and adult volunteers the principles of GOOD CHARACTER, PHYSICAL HEALTH, TEAMWORK, SPORTSMANSHIP, DISCIPLINE and FAIR PLAY.
THIS CODE OF CONDUCT MUST BE ADHERED TO BY ALL PLAYERS, COACHES, ADULT VOLUNTEERS, REFEREES AND SPECTATORS. CVYBA THANKS YOU FOR YOUR SUPPORT All parents, players, and coaches will abide by the following Code of Conduct:
I will learn the rules of the game and the policies of the league. I will respect the school premises where games are played, including cleaning up after myself and my team when done. This includes putting chairs away, returning baskets to default height, and returning the school to the condition we found it. I will not leave any child alone while on school premises, including no roaming of hallways and no unattended children in the bathrooms. I will not take food or drink into any of the gyms. I will not force my child to participate in sports. I will remember that children participate to have fun and learn, and that the game is for youth, not adults. I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of 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 sporting event. I (and my guests) will not engage in any kind of physical, mental, and verbal abuse of any official, coach, player, or parent such as booing and taunting, refusing to shake hands, or using profane language or gestures. I will not encourage any behaviors or practices that would endanger the health and well-being of the players. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence. I will demand that my child treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability. I will teach my child that doing one's best is more important than winning, so that my child will never feel defeated by the outcome of a game or his/her performance. I will praise my child for competing fairly and trying hard. I will never ridicule or yell at my child or other participants for making a mistake or losing a competition. I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and I will refrain from their use at all sports events.
I will emphasize skill development and practices and how they benefit my child over winning. I will also de-emphasize games and competition in the lower age groups. I will promote the emotional and physical well-being of the players ahead of any personal desire I may have for my child to win. I will respect the officials and their authority during games and will never question, discuss, or confront coaches on the court, and will take time to speak with coaches at an agreed upon time and place. I will, when winning by more than 15 points, show mercy to the other team by requiring 5 passes before a shot, by only letting kids who don’t score a lot shoot, by practicing offenses, and/or by using other techniques to keep the game from being a blowout. I will refrain from coaching my child or other players during games and practices, unless I am one of the official coaches of the team. As a coach or parent, I will never leave an adult alone working at or overseeing an activity. If a child needs special attention (one-on-one training or an individual meeting), it will be handled with the assistance or presence of another adult. As coach, I will complete required background clearance forms. As coach, I recognize that inappropriate touching is forbidden, and I will not do it. As coach, I will never ride alone with another family’s child or player in the car, and will establish procedures to follow in the event a player is stranded at an activity. As a parent, I will attend all sponsored activities. As a team parent, I will assist coaches and coordinators to help provide a positive league experience for all families. As a coach or parent, I will make sure players are wearing CVYBA uniforms: (a) Grades 8 and below wear CVYBA shorts and provided jerseys; (b) HS grades wear provided jerseys and thigh-or-below shorts (e.g. no short shorts) I will help coordinators enforce CVYBA rules, including dress, off stages, only water drinks, etc. As a coach if I am given a technical foul due to unsportsmanlike conduct I will be ejected from the game and required to leave the school immediately.
