Presented in cooperation with the Detroit Recreation Department:
2015 Children’s Spring
Soccer & Flag Football League
April 18 - May 23
Beginners Welcome!
All games will be played Saturdays at Balduck Memorial Park:
Soccer:
4-5 yrs. 6-7 yrs.
Flag Football:
8-10 yrs. 11-14 yrs.
7 - 9 yrs.
Please use child’s age as of April 18, 2015
10 - 13 yrs.
Please use child’s age as of April 18, 2015
The league fee is $40 until April 10; $50 after April 10
Please Note: No refunds after April 10, 2015
ESC provides Soccer uniform (jersey & socks) &/or Flag Football jersey
For more info call: (313) 402-4575 or e-mail questions to [email protected]
2. Mail or Bring Registration & Payment to:
1. Register & Pay online at
eaglesportsclub.com!
All new online
registration now available!
Eagle Sports Club (Grace Comm. Church)
ways
2 great
er:
to regist
21001 Moross Rd. - Detroit, MI 48236
(Moross Rd. & I-94; open daily 10 AM to 4 PM)
Payment required with registration form;
check or money order only when mailed
Pay with Debit or Credit Cards!
Girl _______
Select One Program:
Soccer Age Divisions:
4-5
6-7
8-10
11-14
Boy _______
Flag Football Age Divisions:
7-9
New Eagle Sports Club Player
Child’s Name:
10-13
Returning Eagle Sports Club Player
Grade:
Age:
Coach/Team/Teammate Request*:_____________________________________________________________
* ESC makes every effort to honor all requests but reserves the right to place your child on any team.
ABSOLUTELY no team assignments changes after Friday, April 10, 2015
Address: _________________________________________________________________
City:
Primary Phone:
State:
Birth Date:
/
/
Zip:
Secondary Phone:
School Attended:
Email Address(es): _____________________________________________________________
Parent/Guardian’s Name:
For ESC Use Only:
Amount: __________
PM Type: __________
Date: ____________
Initials: ____________
(PLEASE PRINT)
I would like to coach: ____________
I would like to Volunteer:_________
Additional Info & Waiver on back must be signed by parent or legal guardian
www.eaglesportsclub.com
EAGLE Children’s Charities is a 501(c) faith based children’s charity providing sports (EAGLE
Sports Club), tutoring & camp programs for boys & girls ages 4 to 14.
All games played at beautifully restored Balduck Park.
Every child is coached with love, care, discipline, patience and most of all joy.
EAGLE Children’s Charities, founded in 1998, serves Detroit’s eastside community children.
Eagle Sports Club Participation Waiver - Please Read & Sign
By signing below the parent(s) or guardian of _____________________________ (insert child’s name) agree to the
following:
Photography Consent Agreement
I / We hereby grant to Eagle Sports Club, and their staff, volunteers, agents, successors, licensees and assignees, the
irrevocable right and license to use my photograph or the photograph of my child: to edit or crop photograph, and use or
authorize the use of such photographs or any portion thereof in any manner or media at any time in perpetuity and to use
my name, likeness, biographical or other information concerning me in connection therewith, including promotion in all
media. I agree to hold Eagle Sports Club harmless against any liability, loss or damage resulting from the use of my
photograph, and hereby release and discharge this organization from any and all claims whatsoever in connection with
such use of photographs.
Release of Liability and Acknowledgment of Risk
I / We recognize that serious injury sometimes occurs in connection with athletic activities, and hereby exonerate Eagle
Sports Club, it’s employees, coaches, volunteers or parents from any liabilities in connection therewith. Eagle Sports
Club does not provide individual accident insurance. We strongly encourage participants to seek a doctor’s approval
before participating in an athletic activity. Participants and spectators are responsible for adequately protecting
themselves against cost of injury or property damage.
Consent for Treatment of Minor Child
In my absence, I / We authorize medical, surgical and dental treatment, both emergency and non-emergency, considered
necessary and proper for the diagnosis and treatment of my (our) child listed above. I / We further authorize the
manager, coach, assistant manager, and assistant coaches to cause my / our child to be transported to the nearest medical
facility for treatment of any injury or illness. I / We further realize and hold harmless Eagle Sport Club, its employees,
coaches, volunteers or parents from any liability as the result, direct or otherwise, of this transportation or medical care.
I hereby assume responsibility for any such treatment.
I also certify that my child is in good health and has no restrictions from competing in organized recreational activities.
I / WE HAVE READ THE ABOVE WAIVERS FOR PHOTOGRAPHY CONSENT, RELEASE OF LIABILITY,
AND CONSENT FOR MEDICAL TREATMENT AND UNDERSTAND THEM AND, BY SIGNING BELOW,
AGREE TO THEM.
______________________________
_________________________________
Signature of parent or legal guardian
Signature of parent or legal guardian
Date: _____________________________
Date: ___________________________
Please Note: Except for 4-5 yr. olds - All ESC Spring Soccer & Flag Football teams will practice
once a week in the early evening Monday through Friday. Coaches will inform you of practice night.
4-5 yr. old soccer teams typically do not hold practices.
All games are Saturdays at Balduck Park starting Saturday, April 18 to Saturday, May 23. Practices
are very important , missing an occasional practice will not impact your child’s game play.
Soccer Game Times will be: 4 - 5 yr. olds @ 10 AM; 6 - 7 yr. olds @ 11:30 AM;
8 - 10 yr. olds @ 1 PM; 11 - 14 yr. olds @ 2:30 PM
Flag Football Game Times will be: 7 - 9 yr. olds @ 10 AM; 10 - 13 yr. olds @ 12 PM
Soccer players must supply & wear shin guards; FF players must supply & wear mouth guards.
There is a mandatory PARENTS’ MEETING on Monday, April 13 @ 7 PM at Grace Community
Church. Please call 313-402-4575 for further information.
Please Note: No Refunds after April 10, 2015