registration packet checklist AWS
REGISTRATION PACKET CHECKLIST COMPLETE ONE PER CHILD
Please be sure to include the following documents:
□ □ □ □ □ □ □ □ □ □
Welcome Letter Player Information Copy of Birth Certificate Proof of Enrollment in School Photograph Parent/Guardian Code of Conduct Players Code of Conduct Financial Commitment Waiver of Liability, Release and Indemnity Agreement Contact Information
__________________________________________
______________________
Parent/Guardian Signature
Date
WELCOME LETTER Congratulations and welcome to the Atlanta Golden Eagles Youth Basketball Association (AGE). You have been chosen to be part of a special group and we value your participation. AGE is a 501(c)(3) non-profit organization striving to deliver quality sports and life skills training to youth throughout the Gwinnett county area. Coaches volunteer their time to teach different aspects of the game with focus on fundamentals, skill development, leadership and sportsmanship. Team parents are asked to volunteer their time as well to assist with the organization (i.e. fundraising and administrative duties). This program is open to boys in grades 6 and 7 for the current school year and the season will run from approximately March - July. Traveling will be required with this league and parents are responsible for transportation to all games for their sons. All games will be on weekends and teams will practice throughout the season based on a schedule set by each individual coach. An overview of the team’s processes, registration, code of conduct, players and parents expectations, and contact information are provided in this packet. These processes and expectations were developed by AGE Board of Directors. Our goal is to continue on the principals and philosophy that is required to be an active member of AGE. Thank you for your participation!
PLAYER INFORMATION Players Name __________________________________________________ DOB ____________________ Age ___________ School _____________________________________________________________________________ Grade _______________ Address ___________________________________________________________________________________________________ City __________________________________________State _____________________________ Zip_______________________ Mother _______________________________________________ Father______________________________________________ Address _____________________________________________ Address _____________________________________________ City ___________________State ______Zip_______________
City ____________________State ______Zip______________
Cell # ______________________________________________
Cell # _______________________________________________
Email _____________________________________________________________________________________________________ Shirt size (circle one)
YS
YM
YL
YXL
S
M
L
XL
Shorts size (circle one)
YS
YM
YL
YXL
S
M
L
XL
Shoe Size ____________ Jersey # (1st choice) _______________ Jersey # (2nd choice) _______________ Jersey # (3rd choice) _______________ AAU Membership # ________________________________________________________________________________________ Emergency Contact (other than parent) ____________________________________________________________________ Relationship _______________________________________________________________________________________________ Medical Condition(s) (i.e. asthma, ADHD, etc.) (circle one) YES OR NO If YES, please explain ______________________________________________________________________________________ Currently Taking Medication(s) (circle one) YES OR NO If YES, please explain ______________________________________________________________________________________ Allergic to any drugs (circle one) YES OR NO If YES, please list the drugs _________________________________________________________________________________ Insurance Company ____________________________________________Number__________________________________ Doctor _____________________________________________________________Phone # _____________________________
Parent/Guardian Signature ___________________________________________________ Date _____________________
PARENT/GUARDIAN CODE OF CONDUCT We thank you for allowing your child to participate in our program. We are very excited about the upcoming season. As with our players, parents also represent Atlanta Golden Eagles Youth Basketball Association. We expect parents to act with a higher set of standards than we expect from our players. Parents are the role models. Parent/Guardian: (Please initial each sentence) ___ I will not engage in unsportsmanlike conduct with any coach, parent, player, participant, official or any other attendee. ___ I will place the emotional and physical well-being of my child ahead of any personal desire to win. ___ I will not engage in any behavior which would endanger the health, safety or well- being of any coach, player, participant, official or any attendee. ___ I will not engage in the use of profanity. ___ I will treat any coach, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability. ___ I will not engage in any verbal or physical threats or abuse aimed at a coach, player, participant, official or any other attendee. ___ I will not initiate a fight or scuffle with any coach, player, participant, official or any other attendee. ___ I will support the team, board, coaches and players. ___ I will ensure my player’s timely arrival to all practices and all games. ___ I will partner with coaches to enforce academic and behavioral standards for my player.
Player Name _____________________________________________________________________________________________ Parent/Guardian Signature ___________________________________________________ Date _____________________
PLAYER CODE OF CONDUCT It is the view of Atlanta Golden Eagles Youth Basketball Association (AGE) that hard work, good sportsmanship and respect for others are key aspects of a successful athlete. In this spirit, I recognize that I must conduct myself, both on and off the field, in a way that demonstrates respect for my coach, team, others, and myself. I therefore resolve to: Player: (Please initial each sentence) ___ I commit to give 100% effort, 100% of the time. ___ I commit to have appropriate attire and shoes at practice and games (no jewelry, shirts tucked into shorts, no sagging shorts, etc.). ___ I commit to call if I cannot make practice. ___ I commit to having sportsmanlike behavior at all times. ___ I commit to be subject to additional disciplinary actions by coaches for behavioral issues at home and/or school. ___ I commit to taking care of my attitude so my teammates and coaches won't have to. ___ I commit to maintaining a good academic standing and will provide copies of progress reports/report cards to coaches in a timely fashion. ___ I commit to participate in at least one community service project with the team. ___ I commit to be respectful to other players, coaches, parents, and officials. ___ I commit to supporting my teammates, even when I'm on the bench. ___ I commit to representing the Atlanta Golden Eagles in a good way when we are traveling as a team (this includes issues of alcohol use, relations with fans of the home school, hotel personnel, and general rule following when we travel). ___ I commit to face to face contact with the coaching staff or my teammates if I have an issue to discuss. ___ I understand that l may be subject to dismissal from the team if they are suspended from school and/or commit any criminal acts. Player Name _____________________________________________________________________________________________ Player Signature _____________________________________________________________ Date _____________________
FINANCIAL COMMITTMENT Participating with Atlanta Golden Eagles Youth Basketball Association takes a commitment from both the parents and the players. As a team, we will conduct fundraising activities to keep cost to a minimum. The 2018 Spring Season runs from February – July Your Financial Commitment helps cover the following costs: • Tournament entry fees (average of eight events) • AAU/YBOA Membership Fees • Uniform to include jersey, shorts, socks, shooting shirt and travel • Training/Practice • Team Insurance For the 2018 Spring season, the non-refundable fees for each player will be $600 Payment Schedule: ➢ $200 deposit due February 8, 2018 ➢ $200 payment due February 22, 2018 ➢ $200 balance due March 8, 2018 Payment Options: 1) Give to Head Coach 2) Mail check (payable to Atlanta Golden Eagles), along with registration to: Atlanta Golden Eagles PO Box 1363 Grayson, GA 30017 3) Pay online at www.atlantagoldeneagles.org If your total fees are not paid in full by March 8, 2018, the player will not be permitted to practice or attend any games until the account is brought current and may lose their team spot as there typically is a waiting list. If you are unable to meet these deadlines, please contact the AGE Treasurer, Natasha Mews, at [email protected] or (914) 720-3311. Player Name _____________________________________________________________________________________________ Parent/Guardian Signature ___________________________________________________ Date _____________________
FOR OFFICE USE ONLY Date Paid ___________ Amount Paid _____________ Check #_____________ Cash ____________Receipt # _______________
WAIVER OF LIABILITY, RELEASE AND INDEMNITY AGREEMENT I, the undersigned __________________________________________, the legal parent/guardian of ___________________________________, a minor, as an inducement to the Atlanta Golden Eagles Youth Basketball Association to allow the said minor to participate in its recreation and leisure program(s), and for and in consideration of the Atlanta Golden Eagles Youth Basketball Association granting the privilege to the said minor to participate in the said program(s), and recognizing that recreational activity involves certain inherent dangers, including but not limited to the possibility of physical danger, harm, accidents, and injuries, do hereby agree to and do assume any and all risks arising from any incident, action, occurrence, or activity occurring on public, private, or other property, which affects the said minor or us in any manner whatsoever, and do hereby release and agree to hold harmless and to indemnify the Atlanta Golden Eagles Youth Basketball Association, its officials, officers, agents, and employees, in both their official and individual capacities, from any all liability, claims (including claim for attorneys’ fees and costs of court), suits, demands, or causes of action or alleged causes of action, belonging to the said minor or to us as parents and guardians, which may arise, or may be alleged to have arisen, in any manner whatsoever, from the said minor’s participation in the multiple program(s), including, but not limited to, any claims, suits, demands, or causes of action arising out of the transportation of said minor child, the administration of medication to said child, or emergency medical treatment waiver, provided to said minor, and specifically including liability, claims, suits, demand, or causes of action which arise, or which allegedly arose, from the sole negligence of acts or omissions of the Atlanta Golden Eagles Youth Basketball Association, its officers, agents, employees, or officials. I do hereby grant and give the Atlanta Golden Eagles Youth Basketball Association the right to use my child’s photograph or image with or without my or my child’s name both single and in conjunction with other persons or objects for any and all purposes including but not limited to private or public presentations, advertising, publicity and promotion relating thereto I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold harmless the Atlanta Golden Eagles Youth Basketball Association of and from any and all liability of whatever nature which may arise out of result from such uses. I certify that we have read the foregoing instrument, that I understand its terms and conditions, that I make this waiver voluntarily, and that I have not relied upon any representations made by the Atlanta Golden Eagles Youth Basketball Association, or its officers, agents, officials, or employees in signing this release. I further certify that I understand that in making this waiver of liability and indemnity agreement I am making a decision of substantial legal significance concerning my minor child and ourselves.
Parent/Guardian Signature ___________________________________________________ Date _____________________
CONTACT INFORMATION Atlanta Golden Eagles PO Box 1363 Grayson, GA 30017 [email protected] www.AtlantaGoldenEagles.org @AtlGoldenEagles https://www.facebook.com/AtlantaGoldenEagles/ https://www.instagram.com/AtlantaGoldenEagles/
BOARD OF DIRECTORS
PRESIDENTVICE PRESIDENTSECRETARYTREASURERDIRECTORASST. DIRECTORMENTORINGPUBLIC RELATIONSFUNDRAISING-
Derek Higgs Shawn Browne Tanisha Browne Natasha Mews Derek Higgs Derryck Bailey Shawn Browne (OPEN) (OPEN)
Coaches Derek Higgs Derryck Bailey Shawn Browne
(678) 389-5324 (914) 490-4869 (770) 309-5700
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
(678)389-5324 (770)309-5700 (404)723-1752 (914)720-3311 (678)389-5324 (914)490-4869 (770)309-5700
Please be sure to include the following documents:
□ □ □ □ □ □ □ □ □ □
Welcome Letter Player Information Copy of Birth Certificate Proof of Enrollment in School Photograph Parent/Guardian Code of Conduct Players Code of Conduct Financial Commitment Waiver of Liability, Release and Indemnity Agreement Contact Information
__________________________________________
______________________
Parent/Guardian Signature
Date
WELCOME LETTER Congratulations and welcome to the Atlanta Golden Eagles Youth Basketball Association (AGE). You have been chosen to be part of a special group and we value your participation. AGE is a 501(c)(3) non-profit organization striving to deliver quality sports and life skills training to youth throughout the Gwinnett county area. Coaches volunteer their time to teach different aspects of the game with focus on fundamentals, skill development, leadership and sportsmanship. Team parents are asked to volunteer their time as well to assist with the organization (i.e. fundraising and administrative duties). This program is open to boys in grades 6 and 7 for the current school year and the season will run from approximately March - July. Traveling will be required with this league and parents are responsible for transportation to all games for their sons. All games will be on weekends and teams will practice throughout the season based on a schedule set by each individual coach. An overview of the team’s processes, registration, code of conduct, players and parents expectations, and contact information are provided in this packet. These processes and expectations were developed by AGE Board of Directors. Our goal is to continue on the principals and philosophy that is required to be an active member of AGE. Thank you for your participation!
PLAYER INFORMATION Players Name __________________________________________________ DOB ____________________ Age ___________ School _____________________________________________________________________________ Grade _______________ Address ___________________________________________________________________________________________________ City __________________________________________State _____________________________ Zip_______________________ Mother _______________________________________________ Father______________________________________________ Address _____________________________________________ Address _____________________________________________ City ___________________State ______Zip_______________
City ____________________State ______Zip______________
Cell # ______________________________________________
Cell # _______________________________________________
Email _____________________________________________________________________________________________________ Shirt size (circle one)
YS
YM
YL
YXL
S
M
L
XL
Shorts size (circle one)
YS
YM
YL
YXL
S
M
L
XL
Shoe Size ____________ Jersey # (1st choice) _______________ Jersey # (2nd choice) _______________ Jersey # (3rd choice) _______________ AAU Membership # ________________________________________________________________________________________ Emergency Contact (other than parent) ____________________________________________________________________ Relationship _______________________________________________________________________________________________ Medical Condition(s) (i.e. asthma, ADHD, etc.) (circle one) YES OR NO If YES, please explain ______________________________________________________________________________________ Currently Taking Medication(s) (circle one) YES OR NO If YES, please explain ______________________________________________________________________________________ Allergic to any drugs (circle one) YES OR NO If YES, please list the drugs _________________________________________________________________________________ Insurance Company ____________________________________________Number__________________________________ Doctor _____________________________________________________________Phone # _____________________________
Parent/Guardian Signature ___________________________________________________ Date _____________________
PARENT/GUARDIAN CODE OF CONDUCT We thank you for allowing your child to participate in our program. We are very excited about the upcoming season. As with our players, parents also represent Atlanta Golden Eagles Youth Basketball Association. We expect parents to act with a higher set of standards than we expect from our players. Parents are the role models. Parent/Guardian: (Please initial each sentence) ___ I will not engage in unsportsmanlike conduct with any coach, parent, player, participant, official or any other attendee. ___ I will place the emotional and physical well-being of my child ahead of any personal desire to win. ___ I will not engage in any behavior which would endanger the health, safety or well- being of any coach, player, participant, official or any attendee. ___ I will not engage in the use of profanity. ___ I will treat any coach, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability. ___ I will not engage in any verbal or physical threats or abuse aimed at a coach, player, participant, official or any other attendee. ___ I will not initiate a fight or scuffle with any coach, player, participant, official or any other attendee. ___ I will support the team, board, coaches and players. ___ I will ensure my player’s timely arrival to all practices and all games. ___ I will partner with coaches to enforce academic and behavioral standards for my player.
Player Name _____________________________________________________________________________________________ Parent/Guardian Signature ___________________________________________________ Date _____________________
PLAYER CODE OF CONDUCT It is the view of Atlanta Golden Eagles Youth Basketball Association (AGE) that hard work, good sportsmanship and respect for others are key aspects of a successful athlete. In this spirit, I recognize that I must conduct myself, both on and off the field, in a way that demonstrates respect for my coach, team, others, and myself. I therefore resolve to: Player: (Please initial each sentence) ___ I commit to give 100% effort, 100% of the time. ___ I commit to have appropriate attire and shoes at practice and games (no jewelry, shirts tucked into shorts, no sagging shorts, etc.). ___ I commit to call if I cannot make practice. ___ I commit to having sportsmanlike behavior at all times. ___ I commit to be subject to additional disciplinary actions by coaches for behavioral issues at home and/or school. ___ I commit to taking care of my attitude so my teammates and coaches won't have to. ___ I commit to maintaining a good academic standing and will provide copies of progress reports/report cards to coaches in a timely fashion. ___ I commit to participate in at least one community service project with the team. ___ I commit to be respectful to other players, coaches, parents, and officials. ___ I commit to supporting my teammates, even when I'm on the bench. ___ I commit to representing the Atlanta Golden Eagles in a good way when we are traveling as a team (this includes issues of alcohol use, relations with fans of the home school, hotel personnel, and general rule following when we travel). ___ I commit to face to face contact with the coaching staff or my teammates if I have an issue to discuss. ___ I understand that l may be subject to dismissal from the team if they are suspended from school and/or commit any criminal acts. Player Name _____________________________________________________________________________________________ Player Signature _____________________________________________________________ Date _____________________
FINANCIAL COMMITTMENT Participating with Atlanta Golden Eagles Youth Basketball Association takes a commitment from both the parents and the players. As a team, we will conduct fundraising activities to keep cost to a minimum. The 2018 Spring Season runs from February – July Your Financial Commitment helps cover the following costs: • Tournament entry fees (average of eight events) • AAU/YBOA Membership Fees • Uniform to include jersey, shorts, socks, shooting shirt and travel • Training/Practice • Team Insurance For the 2018 Spring season, the non-refundable fees for each player will be $600 Payment Schedule: ➢ $200 deposit due February 8, 2018 ➢ $200 payment due February 22, 2018 ➢ $200 balance due March 8, 2018 Payment Options: 1) Give to Head Coach 2) Mail check (payable to Atlanta Golden Eagles), along with registration to: Atlanta Golden Eagles PO Box 1363 Grayson, GA 30017 3) Pay online at www.atlantagoldeneagles.org If your total fees are not paid in full by March 8, 2018, the player will not be permitted to practice or attend any games until the account is brought current and may lose their team spot as there typically is a waiting list. If you are unable to meet these deadlines, please contact the AGE Treasurer, Natasha Mews, at [email protected] or (914) 720-3311. Player Name _____________________________________________________________________________________________ Parent/Guardian Signature ___________________________________________________ Date _____________________
FOR OFFICE USE ONLY Date Paid ___________ Amount Paid _____________ Check #_____________ Cash ____________Receipt # _______________
WAIVER OF LIABILITY, RELEASE AND INDEMNITY AGREEMENT I, the undersigned __________________________________________, the legal parent/guardian of ___________________________________, a minor, as an inducement to the Atlanta Golden Eagles Youth Basketball Association to allow the said minor to participate in its recreation and leisure program(s), and for and in consideration of the Atlanta Golden Eagles Youth Basketball Association granting the privilege to the said minor to participate in the said program(s), and recognizing that recreational activity involves certain inherent dangers, including but not limited to the possibility of physical danger, harm, accidents, and injuries, do hereby agree to and do assume any and all risks arising from any incident, action, occurrence, or activity occurring on public, private, or other property, which affects the said minor or us in any manner whatsoever, and do hereby release and agree to hold harmless and to indemnify the Atlanta Golden Eagles Youth Basketball Association, its officials, officers, agents, and employees, in both their official and individual capacities, from any all liability, claims (including claim for attorneys’ fees and costs of court), suits, demands, or causes of action or alleged causes of action, belonging to the said minor or to us as parents and guardians, which may arise, or may be alleged to have arisen, in any manner whatsoever, from the said minor’s participation in the multiple program(s), including, but not limited to, any claims, suits, demands, or causes of action arising out of the transportation of said minor child, the administration of medication to said child, or emergency medical treatment waiver, provided to said minor, and specifically including liability, claims, suits, demand, or causes of action which arise, or which allegedly arose, from the sole negligence of acts or omissions of the Atlanta Golden Eagles Youth Basketball Association, its officers, agents, employees, or officials. I do hereby grant and give the Atlanta Golden Eagles Youth Basketball Association the right to use my child’s photograph or image with or without my or my child’s name both single and in conjunction with other persons or objects for any and all purposes including but not limited to private or public presentations, advertising, publicity and promotion relating thereto I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold harmless the Atlanta Golden Eagles Youth Basketball Association of and from any and all liability of whatever nature which may arise out of result from such uses. I certify that we have read the foregoing instrument, that I understand its terms and conditions, that I make this waiver voluntarily, and that I have not relied upon any representations made by the Atlanta Golden Eagles Youth Basketball Association, or its officers, agents, officials, or employees in signing this release. I further certify that I understand that in making this waiver of liability and indemnity agreement I am making a decision of substantial legal significance concerning my minor child and ourselves.
Parent/Guardian Signature ___________________________________________________ Date _____________________
CONTACT INFORMATION Atlanta Golden Eagles PO Box 1363 Grayson, GA 30017 [email protected] www.AtlantaGoldenEagles.org @AtlGoldenEagles https://www.facebook.com/AtlantaGoldenEagles/ https://www.instagram.com/AtlantaGoldenEagles/
BOARD OF DIRECTORS
PRESIDENTVICE PRESIDENTSECRETARYTREASURERDIRECTORASST. DIRECTORMENTORINGPUBLIC RELATIONSFUNDRAISING-
Derek Higgs Shawn Browne Tanisha Browne Natasha Mews Derek Higgs Derryck Bailey Shawn Browne (OPEN) (OPEN)
Coaches Derek Higgs Derryck Bailey Shawn Browne
(678) 389-5324 (914) 490-4869 (770) 309-5700
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
(678)389-5324 (770)309-5700 (404)723-1752 (914)720-3311 (678)389-5324 (914)490-4869 (770)309-5700
