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22-23 YCSC Registration
YCSC Arena & Turf, Pine St & Monroe St, Carlton
Contact us at (503) 519-2591 or ycsoccerclub@gmail.com 
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secondary email
Players First Name *
Players Last Name *
Please select the FREE program(s) you are interested in registering for (select ALL that apply). Questions? Please see our website at www.ycsoccerclub.com or contact Coach Karen directly 503-519-2591 or ycsoccerclub@gmail.com
Please select the PAID program(s) you are registering for. You will be invoiced via Square for the balance due.  If you are in need of scholarship help, please contact Coach Karen directly 503-519-2591 or ycsoccerclub@gmail.com
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I/my player have/has a CURRENT $15 Annual YCSC Membership Fee (July 2022-June 2023) *
Team Vision
Date of birth *
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Gender *
grade *
Jersey size *
street address *
city *
zip code *
School / or "adult"
Parent/guardian (18 & over can use own name) *
parent/guardian last name (18 & over can use own name) *
parent cell (18 & over list own number) *
secondary phone contact
Does the players have any allergies that we need to be aware of? please list. *
Does the players have any medical conditions that we need to be aware of? please list. *
emergency contact name *
emergency contact phone number *
emergency contact relationship *
Special Payment Requests:
❤️ I support YCSC's efforts to provide free programming through the Can and Bottle Scholarship Program. Please add me to your list of supporters. Cans/bottles can be dropped at the collection trailer north end of the YCSC property.
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❤️ I want to support scholarships and free programming through YCSC with my awesome donation! ❤️ Please list donation amount (or item).
GOOD SPORTSMANSHIP & YCSC Commitment to Vision Training: I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every game, practice or other youth sports events. I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all. I will support the players and coaches with the understanding that the YCSC puts player development before winning. I will cheer for my player and others. I will allow all players to make decisions on the field by refraining from giving direction. I support YCSC and their efforts to apply Vision Training Soccer in all aspects of the game and I will not direct players (mine or others) on the pitch, verbally or otherwise. If I wish to express any complaints, issues or suggestions in regards to the program, I will make arrangements to speak directly to coaching staff and/or program director at an appropriate time for all, and I will not use social media as a platform to do so. I have read, understand and agree to comply with the Waiver as outlined above. I will share this Good Sportsmanship & YCSC Vision Commitment with anyone I send or bring to YCSC activities as caregivers or supporters. Demonstrating good sportsmanship as outlined above is a requirement to attending YCSC programming/events. *
WAIVER AND SIGN-IN FORM PARTICIPATION: I understand Yamhill Carlton Together Cares (“YCTC”) and the Yamhill Carlton Soccer Club ("YCSC") is making a facility and/or program available for myself and/or my child during specified times. It is my primary responsibility to follow the rules of the facility and club, act in a safe and responsible manner, accompany all children in my care (further know as "my child") and make sure my child is safe and is acting in a way to keep other children, parents, guardians and others safe. I am/my child is in good health and able to participate safely. If YCTC or YCSC deems myself or my child unable and/or unwilling to participate safely, I / my child may be asked to refrain from activities. WAIVER AND RELEASE. I hereby voluntarily, fully and forever waive, release and discharge YCTC, YCSC, its officers, directors, agents, employees, volunteers, and all other persons or entities acting in any capacity on its behalf YCTC, YCSC and the owner(s) of the facility, its officers, directors, agents, employees, business(es) operating on property (the “Property Owner”) from any and all losses, liabilities, claims, expenses, demands, actions, damages, injuries, causes of action, and rights of action which are related to, arise out of, or are in any way connected with my child’s participation in activities at, with, or sponsored or administered by YCTC and/or YCSC. The foregoing waiver of liability includes, without limitation, damages or injury resulting from the negligence of YCTC, YCSC and the Property Owner (whether such claims are based upon breach of contract, breach of warranty, or any other legal theory) loss of personal property or from any other cause or causes. ASSUMPTION OF RISK. I understand that my child, myself and anyone I bring to YCTC and/or YCSC events or programs may suffer physical harm as a result of the acts or omissions of me, my child, YCTC, YCSC and/or the Property Owner, or others (including participants) due to his or her participation in activities at, with, or sponsored or administered by YCTC or YCSC. I elect to have my child participate in spite of the risks. If I elect to be be on the site, I am responsible for myself and all those I bring with me in spite of the risks. I will not bring or send anyone I am not legally responsible for to the property, nor will bring members of my family or any other person(s) I am legally responsible for, including myself, my spouse, or any other relations to the YCSC Arena property, including but not limited to all fields and parking areas, unless I agree they are included in this waiver. COVENANT NOT TO SUE. I agree not to institute any suit or action at law or otherwise against YCTC and/or the Property Owner, or to initiate or assist in the prosecution of any claim for damages or cause of action which my child or I may have by reason of injury to my child, myself, or property related to, arising out of, or in any way connected with my child’s participation in activities at, with, or sponsored or administered by YCTC and/or YCSC. INDEMNITY. On behalf of myself and any minor children entrusted to my care, I hereby agree to release and indemnify YC Together Cares and YCSC, the property owners, their respective parent corporations, subsidiaries and affiliate corporations, and all of their respective shareholders, members, officers, directors, employees, agents, successors and assigns (collectively the “Released Parties”) from all liability for injury, death, property loss and damage arising out of or in connection with (i) my or my child’s participation in any activity at the Arena property and the use of any facility, equipment, programs and services at the property, including, but not limited to, covered arena, soccer pitch, picnic area, surrounding field, parking area, including all equipment, (ii) my breach of this Agreement, (iii) my violation of the policies of the Arena or (iv) my negligent or intentional tortious acts or omissions. This release and indemnity agreement includes claims based upon negligence by the Released Parties and any other person or cause. I further agree to pay the Released Parties all costs and legal fees expended defending against such claims or lawsuits as well as any sum paid as a result of any judgment or settlement. MEDICAL AUTHORITY, CARE AND EXPENSES. I authorize YCTC, YCSC employees and volunteers to seek and obtain qualified emergency medical treatment and/or transportation to receive such treatment for the participant if thought necessary. I understand I will be financially responsible for changes resulting from such medical treatment and/or transportation to receive such treatment. I will pay for my child’s and my own emergency medical expenses and all subsequent medical expenses in the event of any incident, accident, illness or incapacity, regardless of whether I have otherwise authorized such expenses. I understand YCTC and YCSC employees and volunteers are not trained to address specific behavioral and/or medical conditions. By accepting this Waiver, I make all of the preceding statements and agreements for and on behalf of myself, my spouse, my children, my parents, and any of our or their heirs, assigns, personal representatives, and estates. I am authorized to execute this Waiver on behalf of my child. If any provision of this agreement is determined to be unenforceable, all other provisions shall be given full force and effect.I/We have read, understand and agree to comply with the Waiver as outlined above. *
I understand that photos may be taken of my child during programming and my child's picture may be used for YCTC/YCSC promotional purposes. YCSC can not control photography or the use of photographs by parents and spectators taken at events or during programming. If I have concerns, I will report them directly to the attending coach or program director. *
MEDICAL RELEASE: I understand that Yamhill Carlton Together Cares (YCTC) and/or Yamhill Carlton Soccer Club (YCSC), its employees, property owners and volunteers are not financially responsible for accidents, injuries or loss of personal property during the participants involvement in any YCTC program or activity. I hereby authorize YCTC employees and volunteers to seek and obtain qualified emergency medical treatment and/or transportation to receive such treatment for the participant if deemed necessary with the understanding that I will be financially responsible for charges resulting from such medical treatment and/or transportation to receive such treatment. I understand that YCTC employees and volunteers are not trained to address specific behavioral and/or medical conditions. I verify that the participant is able to function safely in an activity/program setting with a high ratio of participants per adult. If the participant is deemed unable to function safely, they may be sent home and/or excluded from future activities.I/We have read, understand and agree to comply with the Waiver as outlined above. *
Waivers & Policies COVID WAIVER ASSUMPTION OF THE RISK RELATING TO CORONAVIRUS (COVID-19)AND WAIVER OF LIABILITY: Yamhill Carlton Together Cares (YCTC) and the Yamhill Carlton Soccer Club (YCSC) is authorized to return to play by the State of Oregon pursuant to the health and safety regulations currently in effect (as may be modified) in response to the pandemic known as the “COVID-19” virus.  YCSC, as a sponsored project of Yamhill Carlton Together Cares (YCTC), is committed to following best practices as published by federal and state health authorities to protect your children and our athlete participants (the “Participant” or “Participants”).  This ASSUMPTION OF THE RISK RELATING TO CORONAVIRUS (COVID-19 and variants) AND WAIVER OF LIABILITY is known as the “Agreement”). YCTC/YCSC, even following best practices, cannot eliminate the potential risk of infection to its staff, Participant(s), and their families.  The COVID-19 virus is considered extremely contagious and is thought to spread primarily through person-to-person contact.  YCTC/YCSC can only monitor the safety measures taken by its staff and those measures taken within its training spaces: YCTC/YCSC has no control over where a participant may go outside of program activities or with whom that participant may interact.  Allowing your participant to return to activities with YCTC/YCSC is your acknowledgment that YCTC/YCSC cannot guarantee that you or your Participant will not come into contact with or become infected by the COVID-19 virus. The mere physical presence at YCTC/YCSC activities could increase your risk and your youth participant(s) of contracting the disease. To manage this risk, YCSC through its coaches and volunteers and YCTC volunteers and staff (collectively, “Staff”), the Participants and each Parent will cooperate to best comply with health mandates of the Oregon Health Authority, Center for Disease Control and Prevention and the State of Oregon.  By signing below, you (on behalf of yourself and your children as “You”): (1) acknowledge the risk of infection with the COVID-19 virus notwithstanding YCTC/YCSC’s effort to mitigate this risk; (2) voluntarily agree to follow reasonable instructions by YCTC/YCSC, set forth above and as may be required in the future from time-to-time, to mitigate the risk of infection to You, the Staff, and YCTC/YCSC’s participants; and (3) You assume the risks of infection by the COVID-19 virus in participating in activities offered by YCTC/YCSC. Activities include practices, matches, team activities, drop-in and all other club activities and possibly travel to other facilities not under the control of the YCTC/YCSC.  By signing below, you represent that you have carefully reviewed and fully considered this document, made the representations in this Agreement voluntarily and agree to the following waiver of Club’s liability: RELEASE CLAUSE.  I voluntarily agree to assume all of the foregoing risks described in this Agreement and accept sole responsibility for any injury to my child(ren) and myself related to or arising from the COVID-19 virus, including, but not limited to, personal injury, illness, death, damage, monetary loss, claim, liability, or expense of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s participation at YCTC/YCSC activities (“Claims”).  On my behalf, and on behalf of my child(ren), I hereby release Yamhill Carlton Together Cares, Yamhill Carlton Soccer Club, the Property Owners providing space for training, events or other YCSC or YCTC activities, Oregon Youth Soccer Club (“OYSA”), US Youth Soccer, US Soccer and each of their officers, directors, employees, agents, coaches, independent contractors, chaperones, representatives, and members of the Club from any and all claims, demands, and causes of action, whether resulting from negligence or otherwise, of every nature and in conjunction with a Club activity as set forth in this Agreement.  I/We have read, understand and agree to comply with the Waiver as outlined above. *
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