Access Sports Athlete Registration 2018-19
Thank you for choosing to participate in Access Sports as an athlete. Questions? You can email us at athlete@elmhurstaccesssports.org.
Athlete's First Name
Your answer
Athlete's Last Name
Your answer
Street Address
Your answer
City
Your answer
Zip
Your answer
Home Phone (xxx-xxx-xxxx)
Your answer
Cell Phone (xxx-xxx-xxxx)
Your answer
Best Email Address
Your answer
Shirt Size
Athlete's Date of Birth (MM/DD/YYYY)
Your answer
Male or Female
Current Grade
Your answer
Current School
Your answer
First and Last Name of Parent/Guardian 1
Your answer
First and Last Name of Parent/Guardian 2
Your answer
Emergency Contact Name (If parents can't be reached)
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Telephone Number (xxx-xxx-xxxx)
Your answer
Medical Treatment Authorization
As the parent/legal guardian, I authorize medical care for my child in the event of an illness or injury in my absence.

This includes general first aid treatment for any minor injuries or illnesses experienced by my Child. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Designated Adult to summon any and all professional emergency personnel to attend, transport, and treat my Child and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur.

I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Designated Adult in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel.

Do you consent to the above Medical Treatment Authorization?
Allergies (please put NONE if you have no allergies)
Your answer
Medical Conditions (please put NONE if you have no medical conditions)
Your answer
Disability (optional)
Your answer
Please include my name and contact information in the Access Sports Directory
If new to Access Sports, how did you hear about us?
Your answer
Code of Conduct for Athletes and Parents/Guardians
Access Sports provides various sporting programs and outings that ensure everyone’s safety and enjoyment. Access Sports athletes are required to exhibit appropriate behavior at all times. Access Sport’s behavior code of conduct states that athletes shall show respect to other athletes, volunteers and coaches. They should refrain from using foul or inappropriate language, refrain from causing bodily harm, and show respect to equipment, supplies and facilities. Access Sports reserves the right to dismiss participants whose conduct is disruptive, unsafe or otherwise unacceptable. Each situation will be evaluated on its own merit.

The following are the steps that will take place when a participant of an Access Sports program uses foul language or is physically aggressive towards another person. The purpose of informing and meeting with families is to quickly address and resolve the situation so that all participants can attend and enjoy future Access Sports programs.

Foul Language/Threatening Language
If foul or threatening language is used during an Access Sports program, then the parents/guardians will be notified. If foul or threatening language continues after notifying the parents/guardians, then a meeting will be scheduled with the parents/guardians to discuss the issue. The athlete will not be allowed to attend Access Sports events until this meeting has occurred, and a plan of action is put in place to avoid future incidents.

Physical Aggression
If any form of aggression occurs at an Access Sports program, (i.e. hitting, kicking, pinching, slapping, biting, etc.), the parents/guardians will be notified, and the athlete may be removed depending on the incident. A meeting will be scheduled to discuss this situation and the athlete is not allowed to attend Access Sports events until this meeting has occurred, and a plan of action is put into place to avoid future incidents. If physical aggression continues after the parent meeting, it may be that the athlete will not be allowed to return to that particular program.

Parents and Spectators
All parents/guardians and spectators must remain off the field or court once play begins. They shall remain in the stands, bleachers, sidelines, or other such areas which are designated for safety and viewing games. They will not interfere with play. If parents/guardians are needed on the field or court, an Access Sports coach or volunteer will request assistance.

Do you consent to the above Code of Conduct for Athletes and Parents/Guardians?
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