Indoor Youth Soccer - Westfield New York



Westfield Rec. Dept.

Youth Indoor Soccer Program – 2020 Season

1.) Player name

(Please Print)_______________________________ Birth Date________________

Male_______ Female________ Grade Level __________

Address___________________________________ Telephone #____________________

Mailing Address (if different than above)________________________________________________

Town __________________________Zip__________

Health Concern (s) ___________________________________________________________

Shirt Size: Youth S M L Circle one Adult S M L XL Circle one

____________________________________________________________________________________________

2.) Player name

(Please Print)_______________________________ Birth Date________________

Male_______ Female________ Grade Level __________

Health Concern (s) ___________________________________________________________

Shirt Size: Youth S M L Circle one Adult S M L XL Circle one

____________________________________________________________________________________________

3.) Player name

(Please Print)_______________________________ Birth Date________________

Male_______ Female________ Grade Level __________

Health Concern (s) ___________________________________________________________

Shirt Size: Youth S M L Circle one Adult S M L XL Circle one

SPECIAL REQUESTS ARE DISCOURAGED AND ARE NOT GUARANTEED

How did you hear about this program?

Website______ Facebook______ A friend_______ Newspaper _____Flyers_______ Other______

I hereby release, the Village of Westfield, Westfield Academy and Central School, Ripley Central School, Brocton Central School, Chautauqua Lake Central School, Erie Premier Sports and all persons officially associated with Indoor Youth Soccer, from all responsibility regarding injury and/or property damage or loss relating to me, and I authorize medical treatment in case of injury.

I give permission to use unnamed photographs of my children for publicity. By signing this document, I also agree to the parent code of conduct on the back and will promise that both my family and friends as well I, will follow the parent code of conduct while attending my child’s practices and/or games.

Parent Name (PRINT) ______________________________

Parent Signature_________________________________Date____________________

***************** Office Use Only: Check One: Resident________ Non-Resident _________

Amount Paid: _________________ Date Paid: _______________ Check or Cash:_______________

WESTFIELD REC. DEPT. PARENT CODE OF CONDUCT

We, the Village of Westfield Recreation Commission; 7. I will not encourage any behaviors or practices

have implemented the following Parent Code of that would endanger the health and well-being of

Conduct for the important message it holds about the the athletes.

proper role of parents in supporting their child in sports. 8. I will teach my child to play by the rules and to

Parent MUST read, understand and sign this form prior resolve conflicts without resorting to hostility

to their children participating in our league. or violence.

9. I will demand that my child treat other players,

Any parent guilty of improper conduct at any game or coaches, officials, and spectators with respect

practice will be asked to leave the sports facility by regardless of race, creed, color, sex or ability.

Westfield Rec. Dept. staff and/or officials. Repeat 10. I will teach my child that doing one’s best is more

violations may cause a game suspension, or the season important than winning, so that my child will

forfeiture of the privilege of attending all games. never feel defeated by the outcome of a game

or his/her performance.

PREAMBLE 11. I will praise my child for competing fairly and

trying hard, and make my child feel valued

The essential elements of character-building and ethics every time.

in sports are embodied in the concept of sportsmanship 12. I will never ridicule or yell at my child or other

and six core principles: -trustworthiness, respect, resp- participants for making a mistake or losing a

onsibility, fairness, caring and good citizenship. competition.

The highest potential of sports is achieved when 13. I will emphasize skill development and practices

competition reflects these “six pillars of character.” and how they benefit my child over winning. I

will also de-emphasize games and competition in

I therefore agree: the lower age groups.

14. I will promote the emotional and physical well-

1. I will not force my child to participate in sports. being of the athletes ahead of any personal

2. I will remember that children participate to have fun desire I may have for my child to win.

and that the game is for youths, not adults. 15. I will respect the officials and their authority

3. I will inform the coach of any physical disability or during games and will never question, discuss, or

ailment that may affect the safety of my child or the confront coaches and officials at the game gym

safety of others. or field, and will respect a “24 Hour” rule to

4. I will learn the rules of the game and the policies of speak with coaches/officials at an agreed upon

the league. time and place.

5. I (and my guests) will be a positive role model for my 16. I will demand a sports environment for my child

child and encourage sportsmanship by showing that is free from drugs, tobacco, and alcohol and

respect and courtesy, and by demonstrating positive I will refrain from their use at all sports events.

support for all players, coaches, officials and specta- 17. I will refrain from coaching my child or other

tors at every game, practice or other sporting event. players during games and practices, unless I am

6. I (and my guests) will not engage in any kind of one of the official coaches of the team.

unsportsmanlike conduct with any official, coach,

player, or parent such as booing and taunting; refus-

ing to shake hands; or using profane language

or gestures.

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