Volunteer Registration Form Fall 2017 - Spring 2018
OYSAN Coaches/Volunteer Registration Form Fall 2017 - Spring 2018 This is a form used to appoint coaches and others who have direct contact with players. All clubs, coaches, community clubs, or other who submit this form must either know the person, or conduct a reference check.
Date: _________________________ League Name: Black Swamp Soccer League Club Name: ___________________________________________________________________ Team Name: __________________________________________________________________ Coaches Information: Name: ________________________________________________________________________ Address: ______________________________________________________________________ City: _________________________________State: ________ Zip Code: __________________ Home Phone: ________________________ Work Phone: _______________________________ Email:_______________________________ Cell Phone: ________________________________ License Grade: A B C D E U9/10 U11/12 U13/14
None License Number:__________
Emergency contact name and number:_______________________________________________ _______________________________________________ Please list two non-related references: (name, address and phone number) 1.) ___________________________________________________________________________ 2.) ___________________________________________________________________________
As an OYSAN registered coach, I hereby agree to follow and uphold all of the rules and regulations of the above named league, the Ohio Youth Soccer Association North and US Youth Soccer. I also understand that if I do not follow these rules and regulations, I will be subject to sanctions by my league or state association for my actions. In addition, I have signed and submitted the Risk Management (formerly KidSafe Disclosure Statement) to the State Office. I discharge and/orotherwise indemnify the organization/league/club for which I am registering to coach, Ohio Youth SoccerAssociation North, its affiliated sponsors, employees and associated personnel, including the owners of fieldsand facilities utilized against any claim by or on behalf of myself as a result of my participation. Above Person Signature: ____________________________________
Date: ___________________
The cost for coach’s registration is the same amount as the players on any given team. This form must accompany the team’s registration with the league. All coaches who are currently participating in OYSAN activities of any kind must be properly registered every seasonal year with their team. Every team must register all coaches on each team. Leagues with Multiple Community Teams: I certify by submitting this form that either the person is known to the club/community, or that reference checks were done and revealed nothing detrimental to the coach. By submitting this form, we recommend the above person and request that the person be appointed by the above league for the )all 201- 6pring 201 season. _______________________________________________ COXE Representative
_____________________________________ Date
Acceptance of Code of Ethics and Conduct
By my signature I am stating that I will abide by the Code of Ethics and Conduct listed below. I further understand the Black Swamp Soccer League has in place disciplinary actions if these are not adhered to. Ÿ
The most important, fundamental concept that must be taught and learned is what is meant by good play
Ÿ
Good play is skillful, fair sporting play that does not include foul or abusive language
Ÿ
The attitude of players, coaches and spectators toward referees is vital. The referee’s job is to ensure that fair and skillful soccer prevails. They may make mistakes, but players, coaches and spectators shall accept the referee’s decisions without dissent
Ÿ
A match played in a fair and sporting manner will be more enjoyable for all concerned
Ÿ Nothing is wrong with wanting to win; what is wrong is wanting to win at any cost
Ÿ
The coach, players and the spectators shall acknowledge good, skillful play; and must allow or mistakes, especially by younger, less skillful players
Ÿ
The coach, by actions and words, shall encourage a love of the game in all who come into his/her sphere of influence
Ÿ
The coach must always put the welfare of the players before the results of any game.
Ÿ
A coach should not shout at, nor demean players or officials
Ÿ
The coach should provide the role model for his/her players. Players can be expected to behave accordingly
__________________________________________________________________________ Coach’s Signature
I. Violation of the Code of Ethics and Conduct Rule 3. First offence will result in a verbal warning through the club director. Second Offence will result in a direct warning from the league vicepresident to the coach with the director’s knowledge. Third offence will be a one game suspension and a $25 fine for the club. Fourth offence will be a three game suspension and a $50 fine for the club. Fifth offence will be a permanent ban from the league. In all cases the disciplinary committee will conduct a full investigation. Due to the nature of the offence and the discipline all reports must be reviewed and approved by the league president before any action is taken. These actions will not be appeal able.
Date: _________________________ League Name: Black Swamp Soccer League Club Name: ___________________________________________________________________ Team Name: __________________________________________________________________ Coaches Information: Name: ________________________________________________________________________ Address: ______________________________________________________________________ City: _________________________________State: ________ Zip Code: __________________ Home Phone: ________________________ Work Phone: _______________________________ Email:_______________________________ Cell Phone: ________________________________ License Grade: A B C D E U9/10 U11/12 U13/14
None License Number:__________
Emergency contact name and number:_______________________________________________ _______________________________________________ Please list two non-related references: (name, address and phone number) 1.) ___________________________________________________________________________ 2.) ___________________________________________________________________________
As an OYSAN registered coach, I hereby agree to follow and uphold all of the rules and regulations of the above named league, the Ohio Youth Soccer Association North and US Youth Soccer. I also understand that if I do not follow these rules and regulations, I will be subject to sanctions by my league or state association for my actions. In addition, I have signed and submitted the Risk Management (formerly KidSafe Disclosure Statement) to the State Office. I discharge and/orotherwise indemnify the organization/league/club for which I am registering to coach, Ohio Youth SoccerAssociation North, its affiliated sponsors, employees and associated personnel, including the owners of fieldsand facilities utilized against any claim by or on behalf of myself as a result of my participation. Above Person Signature: ____________________________________
Date: ___________________
The cost for coach’s registration is the same amount as the players on any given team. This form must accompany the team’s registration with the league. All coaches who are currently participating in OYSAN activities of any kind must be properly registered every seasonal year with their team. Every team must register all coaches on each team. Leagues with Multiple Community Teams: I certify by submitting this form that either the person is known to the club/community, or that reference checks were done and revealed nothing detrimental to the coach. By submitting this form, we recommend the above person and request that the person be appointed by the above league for the )all 201- 6pring 201 season. _______________________________________________ COXE Representative
_____________________________________ Date
Acceptance of Code of Ethics and Conduct
By my signature I am stating that I will abide by the Code of Ethics and Conduct listed below. I further understand the Black Swamp Soccer League has in place disciplinary actions if these are not adhered to. Ÿ
The most important, fundamental concept that must be taught and learned is what is meant by good play
Ÿ
Good play is skillful, fair sporting play that does not include foul or abusive language
Ÿ
The attitude of players, coaches and spectators toward referees is vital. The referee’s job is to ensure that fair and skillful soccer prevails. They may make mistakes, but players, coaches and spectators shall accept the referee’s decisions without dissent
Ÿ
A match played in a fair and sporting manner will be more enjoyable for all concerned
Ÿ Nothing is wrong with wanting to win; what is wrong is wanting to win at any cost
Ÿ
The coach, players and the spectators shall acknowledge good, skillful play; and must allow or mistakes, especially by younger, less skillful players
Ÿ
The coach, by actions and words, shall encourage a love of the game in all who come into his/her sphere of influence
Ÿ
The coach must always put the welfare of the players before the results of any game.
Ÿ
A coach should not shout at, nor demean players or officials
Ÿ
The coach should provide the role model for his/her players. Players can be expected to behave accordingly
__________________________________________________________________________ Coach’s Signature
I. Violation of the Code of Ethics and Conduct Rule 3. First offence will result in a verbal warning through the club director. Second Offence will result in a direct warning from the league vicepresident to the coach with the director’s knowledge. Third offence will be a one game suspension and a $25 fine for the club. Fourth offence will be a three game suspension and a $50 fine for the club. Fifth offence will be a permanent ban from the league. In all cases the disciplinary committee will conduct a full investigation. Due to the nature of the offence and the discipline all reports must be reviewed and approved by the league president before any action is taken. These actions will not be appeal able.
