Player’s Medical/Emergency Information: SPRING 2014 Player’s Name: ____________________Date of Birth: ____________ Online Registration Open Medical Problems: ________________________________________ ` Emergency Contact:__________________ Phone:_______________ VISIT www.watertownyouthsoccer.org for all of this information and more… Relationship to player:_____________________________________ Watertown Youth Soccer - In Town Programs LITTLE KICKERS and SKILLS ACADEMY Consent for medical treatment of a minor: As parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve life, limb, or well being of the registered player. Injury Waiver: I hereby absolve WYS, including all coaches, managers, officers, and others participating in program activities from all liability and will not hold them responsible for injury incurred to the registered person, and hereby give my approval to this person’s participation in this program. Confirmation of Rules: I also agree on behalf of my family and the player that we will follow and abide by the rules and procedures of WYS. I acknowledge that WYS and coaches have the authority to suspend registered players for poor behavior detrimental to the purpose of the league. Watertown Recreation Department Participant Information: I hereby permit WYS to provide the following information to the Watertown Recreation Department: My child’s name, age and gender. Parent/Guardian’s: Print Name________________________ Phone___________ Signature__________________________ Date____________ EMAIL ____________________________________________ (If you cannot register online) Sign & return completed form, with payment by April 25th Watertown Youth Soccer c/o Meghan Broadstone 12 Lovell Rd, Watertown, MA 02472 Programs are for children age 4 through 4th Grade. Programs are organized by parent volunteers. Soccer instruction provided by professional coaches from Boston Soccer Academy and parent volunteers. SIGN-UP NOW...SPACE IS LIMITED BY FIELD SIZE! ONLINE REGISTRATION PREFERED: https://secure.adminsports.net/watertownmasoccer (linked off of watertownyouthsoccer.org) Pre-K Little Kickers (4 yrs old on or before 12/31/2013) Eight (one hour) sessions on Saturday afternoons for boys and girls…45 minutes of basic soccer skills in a non-competitive, energetic environment using fun games designed to build skills plus a short 15 minute LOW pressure scrimmage. TWO time slots are available...select one when registering. Little Kickers (CURRENT Kindergartners & 1st Graders) Eight (one and a quarter hour) sessions on Saturday mornings for boys and girls…50 minutes of basic skills using the BSA soccer curriculum plus 25 minutes of scrimmages. Sessions focus on learning soccer skills, beginning rules of soccer and sportsmanship using age appropriate team building activities. Skills Academy (CURRENT 2nd, 3rd and 4th Graders) Eight Saturday afternoon and seven Wednesday evening sessions (each 1.5 hours) for boys and girls to learn and improve their soccer skills and understanding of the rules of the game in a fun, energetic environment. Boys and girls typically train and scrimmage separately. If we have consistent parent volunteer coaches, small teams will be formed as the season progresses to teach teamwork and positioning. Fill out BOTH SIDES of this form and SIGN THE BACK. In-Town Program Information–Spring 2014 Watertown Youth Soccer In-Town Programs th Spring 2014 Paper Registration (received by April 26th) Registration: ONLINE (preferred) or by mail through April 26 https://secure.adminsports.net/watertownmasoccer/ (please register online if possible) (Walk-up registration forms accepted on May 3rd at the playing field IF space is available.) Player Information: LOCATION LOCATION LOCATION: Victory Field (inside the track) Orchard St. Address:___________________ City: __________________ Player’s Name: ______________________ Boy ___Girl ___ Phone: ______________Email: _______________________ Date of Birth: _______________ Parent/Guardian must stay at the field. Each player MUST bring a soccer ball and full water bottle to EVERY session. o Size 3 ball is best for Pre-K, K and 1st graders. o Size 4 ball is best for 2nd, 3rd and 4th graders. All players MUST wear shin guards and shorts or sport pants. Leave all jewelry at home. Cleats are optional for Little Kickers but recommended for Skills Academy. WYS provides T-shirts for all players. (Returning Fall 2013 players should wear Fall 2013 shirts if possible.) rd st th Dates: May 3 thru June 21 (including May 24 ) Please arrive 15 minutes early on Saturday, May 3rd Days/Times Little Kickers (Pre-K, K, 1st Graders): Kindergartners - Saturdays 9:15 to 10:30 First Graders - Saturdays 10:45 to 12:00 Pre-K - SESSION ONE – Saturdays 1:00 to 2:00 Pre-K - SESSION TWO – Saturdays 2:30 to 3:30 Days/Times Skills Academy (2nd, 3rd & 4th Graders): GIRLS - Saturdays 1:00 to 2:30 AND Wednesdays 6:00 to 7:30 BOYS - Saturdays 2:30 to 4:00 AND Wednesdays 6:00 to 7:30 Please complete both sides and return this half with your check CURRENT Grade: ____ School: ______________________ What to bring, wear, etc.: Parent/Guardian Name(s): __________________________ Friend Request: __________________________________ th (Little Kickers players signing up by April 26 may request to be placed with a friend and every effort will be made to accommodate the request.) PROGRAM / Registration Fee – (Circle One) Make checks payable to “Watertown Youth Soccer” Pre-K LK SESSION ONE $55 (Pre-K) Pre-K LK SESSION TWO $55 (Pre-K) Little Kickers $65 (K or 1st) Skills Program $95 (2nd, 3rd, 4th) Volunteer – We need YOU! Check here to help: ON FIELD Parent Volunteer (Help BSA Coaches with your child’s group) Week One (May 3rd) Registration/T-shirt helper Week Eight “Party” Planner/Helper Key keeper for your child’s time slot Weekly setup (at 9:00) Weekly setup (at 1:00) Weekly cleanup (at 12:00) Weekly cleanup (at 4:00) Name of volunteer(s):________________________________________ Phone: ________________Email: _____________________________ Watertown Youth Soccer is run entirely by parent volunteers. Volunteers make these great programs work!!!
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