OLV Soccer Registration 2020
Under 6, Under 8, Under 10, Under 12, and Under 14 Age Groups
Age as of July 31st 2020 for U-6 to U-12.

Under-14 age is as of Jan 1st 2020
Email address *
Player's First Name *
Player's Last Name *
Sex *
Date of Birth (Month, Day, Year)
Month of Birth *
Day of Birth *
Year of Birth *
Soccer Program Assignment
(Based on Player's age as of July 31st) (U-14 is Based age as of Jan 1st)
How old is the player on July 31st?
Age Level *
Select Age Level. U means Under the age of.
Assignment Information
Information that could be useful in placing on team
Contact Information
2nd Email Address
Street Address *
City *
State *
ZIP Code *
Primary Phone *
School Player will Attend in Fall *
Grade *
Emergency Contact Information
During Games and Practices
1-Contact Name *
1-Relationship *
1-Phone *
Does your child have any medical conditions the coach should be aware of? *
Please Explain if Yes.
Health Conditions to be aware of
Medical Provider's Name *
My/Our child is covered by the following Medical Insurance.
Participant Survey
(Check any that apply)
(Check any that apply)
Volunteer Information
Anyone who would like to help out on the field during the soccer season must have been cleared and trained for the protection of youth. The Child protection Coordinator will provide further information for the application process.
We need your help to keep the Soccer program operating smoothly.
Please check any position you can help with
Terms of Soccer Program
In consideration of the wholesome recreation and/or learning experience in which my/our child will participate, I/we as parent(s)/guardian(s) allow my/our child to participate in the OLV Soccer Program and confirm the participant is in good health and able to participate in the activity.
I/We fully accept and acknowledge the activities may in involve risk, and I hereby assume the risk and responsibility for all dangers and risks associated with the participant in the activity. It is thus agreed that I/we will hold the individuals, parish, school and field sites harmless from all liability and legal proceedings arising from any injuries connected with games, practices and/or transportation to and from same.
In case of injury or emergency, I for myself and/or participant (if participant is minor/child), and my personal representatives, give permission for an activity representative to call 911 and transport participant to a hospital.. Further, I/we hereby inform by pertinent medical personnel that there are no medical conditions that OLV Soccer should be aware of other than that which is included in this form.
I/We have read, fully understand, and hereby freely sign, approve of, and agree to the terms of the OLV Soccer program. I/We hereby unconditionally release, discharge, waive my rights and remedies, and agree to hold harmless the activity representatives from any and all claims, costs, losses, damages, or expenses associated with, in whole or in part, participant’s involvement with the activity.
I/We certify all answers and information provided on this registration form are to the best of my knowledge true and correct.
I/we have read and agree to the terms of the Our Lady of Victory Soccer Program.  *
Parental Digital Signature
Media Release
I/we hereby consent that any photograph or video or any reproduction thereof either whole or in part taken of the stated participant by the staff or volunteers of the Our Lady of Victory Soccer program may be used for advertising or informational purposes including non‐broadcasting, web‐based and/or demonstrational use. *
Parent/Athlete Concussion Information
Below you find the definition of a concussion and common signs and symptoms:
Definition: A Concussion is the most common type of brain injury. It is the result of a direct blow to the head or body causing the head and brain to move quickly back and forth.
This injury typically results in impaired of neurological function.
The brain ceases to function normally and may result in the signs and symptoms listed below.

It is important to understand that the signs and symptoms listed below are common for a concussion, but may exist independently of one another;

Headache, Neck Pain, Nausea, Vomiting, Loss of appetite, Balance Problems/Dizziness, Drowsiness/Fatigue, Difficultly Sleeping, Nervousness/Anxiety, Sensitivity to light/noise, Double Vision, Altered Emotions, Ringing in the ears, Feeling slowed down, Feeling in a “fog”, Difficulty concentrating or remembering, Confusion/Disorientation.

Please go to the CDC concussion web page for more information . www.cdc.gov/headsup
I acknowledge that I have read and understood the information regarding concussions. I acknowledge that I have received information about concussions. I know and understand that I should notify my healthcare provider(s) when I suspect my child may have sustained a concussion. I take full responsibility for notifying if I do think they may have a concussion. *
Players shall:
- Have fun and enjoy the game
- Attend practices, listen and learn
- Treat all teammates, coaches, opponents, parents and referees with respect
- and shall not be critical of referees, players or coaches
- Know and adhere to the rules of the game
- Be a positive support to teammates
- Display self-control at all times and shall not use profanity or approach any player, coach or referee in a threatening manner
- Exhibit good sportsmanship, be gracious in defeat and modest in victory;
- shall always shake hands properly with the opposing players at the conclusion of each game
- Remain with their team during the entire game

Parents/Spectators shall:
- Be respectful of the emotional and physical well-being and development of all youth participants
- Allow the coach to coach the game and refrain from directing players on the field
- Maintain a positive sideline demeanor and provide encouragement to all of the players
- Control emotions and provide only positive comments to players, referees, parents and coaches of either team
- Concerns shall not be addressed to players, parents or referees of either team at anytime.
- Concerns shall only be addressed to the OLV coach either by e-mail or by phone.
- Any person that is not conducting themselves in the proper manner may be asked to leave the field
- Please communicate these codes to others attending your child’s games

Rules of Conduct Acknowledgement *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
WHEREAS, the Baltimore County Department of Recreation and Parks (the “Department”) has created new protocols and put in place preventative measures to reduce the spread of COVID-19; however, the Department cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending any program may increase your child(ren)s risk of contracting COVID-19.
I hereby confirm that the Participant does not have an elevated temperature or otherwise exhibit any symptoms of COVID-19, is in good health and able to participate in the Recreation Council Program and OLV Soccer Program.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and knowingly and voluntarily assume the risks that my child(ren) and I may be exposed to, or infected by COVID-19 by attending the Recreation Council Program and OLV Soccer Program, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risks of becoming exposed to or infected by COVID-19 at the Recreation Council Program and OLV Soccer Program may result from
the actions, omissions, or negligence of myself and others, including, but not limited to, Baltimore County, Maryland or Recreation Council employees, volunteers, and program participants and their families.
I knowingly and voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including, but not limited to, personal injury, disability, and death, illness, damage, 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 attendance at the Recreation Council Program and OLV Soccer Program. On my behalf, and on behalf of my child(ren)s, I hereby release, covenant not to sue, discharge, and hold harmless Baltimore County, Maryland, the Recreation Council, OLV Soccer Program, and their respective elected/appointed officials, employees, agents, representatives, successors and assigns of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this 2 release includes any Claims based on the actions, omissions, or negligence of Baltimore County, Maryland, the Recreation Council, OLV Soccer and their respective elected/appointed officials, employees, agents, representatives, successors and assigns after participation in any Recreation Council Program and OLV Soccer Program.
Name of Parent/Guardian *
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