GRANT COUNTY SOCCER FALL 2008 REGISTRATION

www.grantcountysoccer.com

Registration forms received after July 31, 2008 cannot be accepted

Mail to: Grant County Soccer ATTN: John Trevett PO Box 485 Milbank, SD 57252

FEE SCHEDULE: $25/PLAYER-FAMILY MAX--$50 Make Checks Payable to Grant County Soccer

(Absolute no refunds unless not enough players for child’s team/shortage of coaches for your child’s team)

_____ I am willing to coach my child’s team (YOUR CHILD PLAYS FOR FREE IF YOU COACH!!)

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Player’s Last Name First Name MI Sex(M/F) DOB(mm/dd/yy) Age

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Address City State Zip Phone#

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Parent’s Names Work#’s(Mom and Dad) E-mail Address

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Mother’s B-Date (mm/dd) School

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Emergency Contact(other than parent) Relationship to Player Phone#

Medical Concerns: _______________________________ Shirt Size: YM YL YXL AS AM AL AXL

PLEASE MARK IT LEAST ONE PREFERRED AREA TO PROVIDE VOLUNTEER SUPPORT, REMEMBER-THIS IS AN ALL-VOLUNTEER ASSOCIATION.

___Asst Coach ___Lining Fields ___Fundraising ___Nets/Field Striping

___Concession Worker ___Team Parent ___Jersey Issuance ___Referee/Line Judge

___Equipment Committee ___Board Member ___other?_____________________________

**SIGNATURE REQUIRED BEFORE CHILD CAN PLAY. PLEASE READ AND SIGN BELOW**

Consent for Medical Treatment of a Minor

As the Parent/Legal Guardian of the above named minor child, 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 necessary to preserve life, limb or the well-being of my dependent.

Agreement to Abide and Hold Harmless

As the parent/guardian of the registrant, a minor I agree that I and the registrant will abide by the rules of the USYSA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYSA accepting the registrant for its soccer Programs and Activities(“the Programs”), I hereby release, discharge and/or otherwise indemnify the USYSA, its affiliated organization and sponsors, their employees for the Programs, against any claim on behalf of the registrant’s participation in the Programs and/or being transported to or from the same which transportation I hereby authorize.

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Parent’s Printed Name Parent’s Signature Date

IMPORTANT INFO ON NEXT PAGE TO KEEP

**CHECK OUT OUR NEW WEBSITE **

www.grantcountysoccer.com for future game schedules, coaches info etc.**

Your child must turn 4 by February, 1, 2008 to play in Fall 2008 season.

**We must have enough coaches for each team, otherwise, we will not be able to run the program for that age group.

**The season will run from August 18 – September 21, 2008, older divisions(U-10 and up) may run a week earlier or extended a week later.

**We will have a mandatory coaches meeting before the season starts to distribute equipment, jerseys, binders, etc.

**U-6 & U8 – Shirts are provided for each player participating that they can keep. Each player will need Size 3 ball, shinguards, socks, shoes(no cleats necessary for this division, if purchasing cleats for your child, absolutely NO medal cleats) & shorts. Sweatpants will be acceptable due to weather. **U6 & U8 Practices will be either Monday or Tuesday,(depending on how many teams we have for the season, games will be on Thursday in town only. Parent is asked to be at all practices/games for these divisions.

**U-10 & U12 – Jerseys are provided for each player and needs to be returned at the last game of the season to your coach. Parents are responsible for a fee of $25.00 to Grant County Soccer if Jersey’s are not returned or is damaged. Each player needs shinguards, black shorts, size 4 ball, socks, shoes(if purchasing cleats, absolutely NO medal cleats). Sweatpants will be acceptable due to weather and long sleeve shirt under Jersey as well. **U10 & U12 Practices will be determined by there coaches and games will be set up during the week and occasionally on Saturdays.

**PLAYERS WITHOUT SHINGUARDS, SOCKS, APPROPRIATE SHOES WILL NOT BE ABLE TO PARTICIPATE IN ANY PRACTICE OR GAMES.

**Parents are responsible for contacting their child’s coach regarding missing a practice or game. Each player is an important part of the team, and each coach will need time to find a replacement for the team member. If continued absences occur, without notification, the team suffers and an evaluation of continued participation will be addressed by the soccer board.

Board Members:

President – John Trevett Secretary/Registrar – Tammy LeBrun

Vice President –Open Treasurer~U6/U8 Coordinator – Pam Jackson

Referee Coordinator – Open Fundraiser Coordinator – Jeannie Trevett

Risk Management-Geri Redmond

Web Master~U10/U12 Scheduler-Audrey Amdahl

ANY QUESTIONS, CONTACT: John Trevett 320-839-3779 Tammy LeBrun 432-6071

e-mail addy: grcountysoccer@yahool.com Leave message if neither answers.