Richmondtown Soccer Club

RICHMONDTOWN SOCCER CLUB ATTACH Registration 4 years to 14 years MOST RECENT PHOTO HERE Please Print all Information. Use a separate form for each child. Under 8, 10, 12 &14 Fee is $125 ($200 after May 31) made payable to Richmondtown Soccer Club. No Photo for Under 6 NO CASH! NO REFUNDS! Player's Name (Last) (First) Mailing Address (Street) S. I., N.Y. E-Mail Address ______Telephone: Date of Birth:  Male  Female Team last Season: Does child play for another Club/League?  Yes No If so, what Club/League? ______Parent's or Guardian's first name (s) / **** Your Child is Not Guaranteed to be Placed on the Same Team ****

EMERGENCY INFORMATION Name of Parent/Guardian ______Telephone: ______Alternate Telephone: ______Medical Information: Detail and Handicaps or Medical Conditions we should know about.

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Parent Participation: PLEASE GET INVOLVED FOR THE CHILDREN Interested in coaching?  Yes  No Assistant Coach?  Yes  No Team Mother?  Yes  No

If Yes, tell us your name: ______

No soccer experience is necessary. You will have the assistance of experienced coaches and the opportunity to obtain a coaching license through Richmondtown Soccer Club.

Parent/Guardian Consent: I, THE UNDERSIGNED PARENT OR GUARDIAN OF THE REGISTRANT, A MINOR, AGREE THAT WE WILL ABIDE BY ALL RULES/LAWS/REGULATIONS, SPECIFICALLY SOCCER, AND ALL AFFILIATED ORGANIZATIONS AND SPONSORS, RECOGNIZING THE RISK OF INJURY WITH SPORT PARTICIPATION AND IN CONSIDERATION OF OUR ACCEPTING FOR THIS PROGRAM, I/WE HEREBY RELEASE AND DISCHARGE AND/OR INDEMNIFY RICHMONDTOWN SOCCER CLUB, AFFILIATED ORGANIZATIONS, SPONSORS, THEIR EMPLOYEES AND ASSOCIATED PERSONS OF THIS PROGRAM AGAINST ANY CLAIM BY OR ON BEHALF OF THE REGISTRANT INCLUDING BUT NOT LIMITED TO TRANSPORTATION TO AND FROM ACTIVITIES, WHICH TRANSPORTATION IS HEREBY AUTHORIZED.

______DATE PARENT/GUARDIAN SIGNATURE

RICHMONDTOWN BEHAVIOR GUIDELINES

Richmondtown is a Soccer Club committed to the advancement of youth soccer on Staten Island. Our goal is to provide a competitive environment for our members. An integral part of this is educate in the rules of the game of soccer, sportsmanship and civility

EVERYONE (players, coaches and supporters) associated with a team must be informed that poor sportsmanship and inappropriate behavior will not be tolerated. When we participate in games and tournaments we represent the Team, our Club and our Community.

EVERYONE on the sidelines who is abusive towards any referee, player or other parent may be asked to leave the field by the team coach or coaching staff. Failure to comply with such a request will result in the Player associated with such disorderly person being removed from the game and not allowed to play. Persistent or aggravated disorderly behavior by a parent, spectator or supporter may result that person being suspended and prohibited from games or tournaments.

PLAYERS must obey all FIFA, league and tournament rules in addition to any rules set forth herein.

PLAYERS must avoid all use of violent force, obscene or abusive language or other actions which might provoke, deride, incite or intimidate any other player, coach, official, parent or spectator.

PLAYERS shall abide by the decisions and conduct of any game official or referee.

PLAYERS shall abide by coaching decisions and instructions issued by coach or coaching staff of their respective Richmondtown team.

PLAYERS failing to comply with any of the above may face suspension, removal from the club or other sanctions deemed appropriate by Richmondtown Executive board.

PARENTS must obey all aforementioned rules applying to Players.

PARENTS are to understand that before, during and after any Game (League, Tournament or otherwise) the coach of their child's team is charged with the responsibility of maintaining the order of the sidelines (Parents, spectators and supporters). It's the Coach who will be warned by the referee or official. It's the Coach who will be issued YELLOW OR RED CARDS or suspended and removed from the field because of poor sideline behavior. Parents are to obey the request and directions of their child's team Coach or coaching staff with regards to sideline behavior.

PARENTS are to be reminded that ALL RICHMONDTOWN COACHES ARE VOLUNTEERS. Disputes regarding Coaching decisions or practices should be discussed by telephone with the Coach. Confrontations in the presence of parents or players is embarrassing for the team and Richmondtown Club. A Player's or Parent's persisting problems with a Coach should be brought to the attention of the Richmondtown Executive Board in writing.

PLAYER ______DATE ______

PARENT ______DATE______

Richmondtown Soccer

"Consent Form" The Richmondtown Soccer Club is pleased to announce the new Richmondtown Web Site to report game highlights, practices, scores and news of our children's games. It will be the responsibility of the coach or representative to send signed consent forms to Bill Smith before posting game highlights.

We feel this is an excellent opportunity to enhance our children's interest in soccer, as well as the use of the Internet. To find this site, enter www.richmondtownsoccer.com.

Many coaches have attempted to reward their players by reporting scores and highlights, only to be disappointed by what the newspapers actually report. Now, in addition to reporting the scores, we are attempting to build children's confidence. And interest.

We will not use any child's name (or image) unless we have a PARENTAL CONSENT Form. At no time will Richmondtown Soccer Club, Club officials, coaches, volunteers, Web authors, sponsors, affiliated organizations, their employees, any other associated persons of this club be held legally responsible for use of a child's name (or image) in connection with the reporting of sporting events, achievements, and the like...

Please show your support for this endeavor with your signature!!

Team ______

Player's Name ______

Coach's Name ______

Parent's Signature ______