OLV Soccer Registration Clinic Level

For Ages 4 and 5 year olds as of July 31st 2017
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    Date of Birth
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    Please enter a Number
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    4 digit Year format ####
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    Soccer Program Assignment

    (Based on Player's age as of July 31st)
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    Contact Information

    Must be a valid email address
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    Must be a whole number
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    Emergency Contact Information

    During Games and Practices
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    Must be fewer than 250 characters.
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    Participant Survey

    (Check any that apply)
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    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.
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    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.
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    Media Release

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    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
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    RULES OF CONDUCT

    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
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