Registration Form-Flyer 2015

Holy Rosary Catholic Youth Organization Soccer
Fall 2015 registration open for grades K – 8
REGISTRATIO DEADLINE = AUGUST 1
Coaches: If you are interested in volunteering as a head or assistant coach, please let us know. You may
contact us to find out if your grade level already has a coach/coaches. Coaches are responsible for recruiting
additional members at the grade level they wish to participate in (Holy Rosary CYO will also publish
registration information in the bulletin, school family folder, and church website). Please contact us by June 7
if you are interested in registering your team in Fall 2014.
Who can play? : Our program is open to all youth in our parish community, grades K - 8. Should a child wish
to play that is not a member of our school, parish or faith community please contact us so permission may be
obtained from the Archdiocese for that child’s involvement in our program.
How many kids can play on a team?: In CYO the number of players on the field at any given time, and
roster size varies. Please visit www.seattlearchdiocese.org for the roster size and rules that apply to your grade
level. Should the recommended or desired roster size not be met due to large numbers of registrants, there can
be more than one team per grade, per gender. If there are not enough interested players in a grade to make a
team, individuals from the younger grade may play up with the older grade level to make a team.
5th – 8th Grade: Roster size (minimum:12, maximum: 25); 11 players on the field per side, including goalie
4th Grade: Roster size (minimum: 12, maximum: 25); 9 players on the field per side, including goalie
3rd Grade: Roster size (minimum: 11, maximum: 18); 6 players on the field per side, including goalie
K – 2 (coed): Roster size (minimum: 9 - 12, maximum: 10 - 15); 4 - 5 players on the field per side, no goalies
Rules / Divisions: Soccer teams will follow FIFA rules, except as outlined in the CYO Athletics specific rules.
Visit www/seattlearchdiocese.org/athletics/sports/soccer for the rules that apply to your division
Equipment: Visit www/seattlearchdiocese.org/athletics/sports/soccer to find out which size ball your grade
should be using, and notify Athletic Directors of your equipment needs and preferences. They will then be
furnished by Holy Rosary CYO to the coaches, who will return the equipment at the end of the season.
Practices: Team practices are held at Holy Rosary, or in the nearby Edmonds area. Practice times and location
depends on the coaches desired field and schedule. If more than one team wishes to use the same field, priority
scheduling is given to the upper grade level. If coaches wish to use a field other than Holy Rosary please notify
CYO Athletic Directors immediately so field reservations can be made in advance.
Games: Games are played in the shoreline and greater northern Seattle area
Games / Playoffs: The exact game and playoff dates will be posted at www/seattlearchdiocese.org
Grades 5-8: 8 regular season games Sept. through Oct. Playoff games from end of Oct into 1st week of Nov.
Grades 1-4: 7 regular season games, mid-Sep. through Oct. No playoff games.
Grade K: 5 regular season games, mid-September through October. No playoff games.
Please contact us with your questions. We look forward to a great 2015 season.
Sincerely,
Sarah Lacy (206) 200-5095
Regan Hupf (206) 229-7384
[email protected]
HOLY ROSARY CYO REGISTRATION: Soccer Fall 2015
Grades K – 8
Registration Deadline: August 1
Return form and fee to Holy Rosary Parish, School Office, or by mail P.O. Box 206, Edmonds, WA 98020
Athletic Fee per player: $85.00 (checks payable to Holy Rosary)
Player Name: _______________________ Gender (M/F) ___ Birth Date:_________ Catholic? (Yes/No): ______
Parish: _________________ School: _______________________ Grade: _________ Race: _______________
Home Address: ____________________________________________________________________________
(Street)
(City)
(Zip)
PARENT: ____________________________
Home/Work/Cell#: __________________________________
PARENT: ____________________________
HomeWork/Cell#: __________________________________
E-Mail(s): _______________________________________________________________________________
Emergency Contact: ______________________________ Contact #: ________________________________
UNIFORM: Adult or Youth Size? ______
S,
M, L or XL? ______
Number: _____________
Health Conditions/Physical Restrictions: _______________________________________________________
Medications/Allergies: ______________________________________________________________________
Family Physician: __________________________________ Contact #:_______________________________
Medical Insurance Carrier: _________________________________Policy #: __________________________
Permission Liability Waiver: I give my child: ______________________________________ permission to play on the Holy
Rosary Edmonds CYO team. I understand that I take full responsibility for my child’s welfare and will not hold Holy Rosary
Edmonds Parish or School, Catholic Youth Organization of the Archdiocese of Seattle, the current coaching staff, or the
schools, practice fields and of gym at which my child will participate, responsible for accident or injury sustained by my child.
In case of emergency, I hereby authorize the Adult in charge to seek any emergency care, transportation and procedure
deemed necessary by a physician, due to injuries sustained while participating in the Holy Rosary Edmonds Athletic Program.
Photograph/Video/Sound Release Waiver: I hereby
___GIVE PERMISSION
___DO NOT GIVE PERMISSION to
Holy Rosary to use the photograph/video/sound of my child named above for their publicity, promotion, news releases, videos,
and web use. This may also apply to the written composition or visual art of the minor if it is published. Holy Rosary agrees
that the child’s name, picture, art, written work, voice, photograph, video or verbal statements shall only be used for public
relations, public information, publicity and/or instruction. The school further agrees that students will not be identified by
personal details other than first name. These details include email or postal addresses, telephone or fax numbers. Pictures of
one to three children are permitted as long as an appropriate release form has been signed by the parent/guardian of each
individual shown in the picture. Pictures of four or more students are permitted without a release form and will be printed
without first and last names. No monetary consideration shall be paid. Consent and release have been given without coercion
or duress. The photo, video or student statements may be used in subsequent years. If the child or Parent/Guardian wish to
rescind this agreement they may do so at any time with written notice. Holy Rosary has no control of media use of
pictures/statements which are taken without our permission.
Parent/Guardian: ___________________________
(Print)
________________________ Effective Date:
(Signature)
I am interested in volunteering, contact me to provide more information about volunteering as a:
Coaching____ Assistant Coaching____ Other ____________________________________________
HOLY ROSARY ATHLETIC DIRECTORS
Sarah Lacy (206) 200-5095
Regan Hupf (206) 229-7384
[email protected]
Scholarships are available upon request.
(Official use only)
Jersey Number ______
Payment Received ____