Travel Player Commitment Form
SB4U Academy Staten Island NY 347.612.0970 [email protected] www.soccerbest4u.com
Travel Player Commitment Form
Child Full Name:
Boy
Address:
Girl
Age
Zip Code:
DOB:
/
/
Phone:
Previous Soccer Experience (Teams)/ (Camps)
_
Parent/Guardian Full Name:
E-Mail Address:
Person in case of emergency:
_
Phone:
PHOTO CONSENT RELEASE MEDICAL INFORMATION OF PLAYER/PARTICIPANT I, Hereby consent for my child’s photograph/image to be used for the official www.soccerbest4u.com website and club communications and for use in conjunction with club presentations. I understand that the information to be posted does not include other personal identifiable information such as my child’s address, phone number, or social security number.
List Allergies: Medication being taken or other pertinent medical Information:
Organization Name:
Family Doctor’s Name Phone
Parent Name:
Recognizing the possibility of physical injury associated with soccer and in consideration for SB4U and its affiliated groups the registrant for its soccer program and activities (the “Programs”), I hereby release, discharge and/or indemnify SB4U, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or behalf of the registrant’s participation in the Programs. My child has received a physical examination by a physician and has been found physically capable of participating in the Programs. Therefore, I grant the Clinic Director permission to act as my surrogate for my child in the area of obtaining medical treatment by a doctor of medicine or dentistry. I also assume the financial responsibility for any medical treatment for my child. Signature of Parent or Guardian:
SB4U Academy
Date:
Date:
REQUIRED ITEMS
OFFICIAL USE ONLY
- 2 Passport Pictures - Copy of Birth Certificate - Copy of Doctors Clearance or Medical Release Form - One Time Annual Registration Fee Paid in Full REGISTRATION FEE * One Time Annual Fee: $295 ( Uniform not included ) * Monthly Training Fee: $129 ( Due every month ) ALL PAYEMENTS ARE FINAL – NO REFUNDS Make Check Payable To: SB4U
Received By: Date Player Fee $ $
- Disc =$
Other Siblings $ TOTAL PAID $ Cash
Check
Travel Program Commitment Agreement I, (player name), accept the offer to join the SB4U Academy Travel soccer program and fully understand that by committing to this team and club I will be expected to participate in regularly scheduled practices, league games, tournaments and all team obligations. In the case of an emergency, illness, or conflict with an important family event, I will notify the team manager in advance of the scheduled practice, game, tournament or team obligation. I understand that my teammates rely on my commitment and that I am promising to myself as well as my teammates to live up to this commitment by joining the team. Unexcused or frequent absences from practices will affect playing time during games. Sportsmanship-Players and parents will be expected to represent SB4U Academy at all events with the highest level of sportsmanship and conduct. Parents will refrain from sideline coaching and derogatory remarks directed at the coach, referee or opposing team. Parents and players will support each other and be respectful toward other parents, teams and coaches. Forms and Fees -The registration fee is the responsibility of the parent to remit on a timely basis, in accordance with registration guidelines outlined on the web site. All fees and required forms must be submitted by the registration deadline. In accordance with club policy, SB4U Academy does not give refunds except at the sole discretion of the Board of Directors.
Acceptance I understand the commitments as outlined in this agreement. My signature below indicates that I am accepting my selection and agree to all commitments, both financial and non-financial. Player Signature:
SB4U Academy
Date:
Parent Signature:
www.soccerbest4u.com
Date:
347.612.0970
Travel Player Commitment Form
Child Full Name:
Boy
Address:
Girl
Age
Zip Code:
DOB:
/
/
Phone:
Previous Soccer Experience (Teams)/ (Camps)
_
Parent/Guardian Full Name:
E-Mail Address:
Person in case of emergency:
_
Phone:
PHOTO CONSENT RELEASE MEDICAL INFORMATION OF PLAYER/PARTICIPANT I, Hereby consent for my child’s photograph/image to be used for the official www.soccerbest4u.com website and club communications and for use in conjunction with club presentations. I understand that the information to be posted does not include other personal identifiable information such as my child’s address, phone number, or social security number.
List Allergies: Medication being taken or other pertinent medical Information:
Organization Name:
Family Doctor’s Name Phone
Parent Name:
Recognizing the possibility of physical injury associated with soccer and in consideration for SB4U and its affiliated groups the registrant for its soccer program and activities (the “Programs”), I hereby release, discharge and/or indemnify SB4U, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or behalf of the registrant’s participation in the Programs. My child has received a physical examination by a physician and has been found physically capable of participating in the Programs. Therefore, I grant the Clinic Director permission to act as my surrogate for my child in the area of obtaining medical treatment by a doctor of medicine or dentistry. I also assume the financial responsibility for any medical treatment for my child. Signature of Parent or Guardian:
SB4U Academy
Date:
Date:
REQUIRED ITEMS
OFFICIAL USE ONLY
- 2 Passport Pictures - Copy of Birth Certificate - Copy of Doctors Clearance or Medical Release Form - One Time Annual Registration Fee Paid in Full REGISTRATION FEE * One Time Annual Fee: $295 ( Uniform not included ) * Monthly Training Fee: $129 ( Due every month ) ALL PAYEMENTS ARE FINAL – NO REFUNDS Make Check Payable To: SB4U
Received By: Date Player Fee $ $
- Disc =$
Other Siblings $ TOTAL PAID $ Cash
Check
Travel Program Commitment Agreement I, (player name), accept the offer to join the SB4U Academy Travel soccer program and fully understand that by committing to this team and club I will be expected to participate in regularly scheduled practices, league games, tournaments and all team obligations. In the case of an emergency, illness, or conflict with an important family event, I will notify the team manager in advance of the scheduled practice, game, tournament or team obligation. I understand that my teammates rely on my commitment and that I am promising to myself as well as my teammates to live up to this commitment by joining the team. Unexcused or frequent absences from practices will affect playing time during games. Sportsmanship-Players and parents will be expected to represent SB4U Academy at all events with the highest level of sportsmanship and conduct. Parents will refrain from sideline coaching and derogatory remarks directed at the coach, referee or opposing team. Parents and players will support each other and be respectful toward other parents, teams and coaches. Forms and Fees -The registration fee is the responsibility of the parent to remit on a timely basis, in accordance with registration guidelines outlined on the web site. All fees and required forms must be submitted by the registration deadline. In accordance with club policy, SB4U Academy does not give refunds except at the sole discretion of the Board of Directors.
Acceptance I understand the commitments as outlined in this agreement. My signature below indicates that I am accepting my selection and agree to all commitments, both financial and non-financial. Player Signature:
SB4U Academy
Date:
Parent Signature:
www.soccerbest4u.com
Date:
347.612.0970
