2014/2015 INDOOR WINTER SEASON BLOOMFIELD JUNIOR SOCCER ASSOCIATION For all players - Recreation and Travel Leagues NOTE: ALL PLAYERS (NEW AND RETURNING) MUST REGISTER TO PLAY IN THE WINTER SEASON. In Person Registration dates listed on back. Age First Name Last Name Gender Birth Date Shirt Size* SHIRT COLOR (returning players) * T-shirt Sizes: (Youth sizes: YS, YM, YL; Adult sizes: AS, AM, AL) __________________________________________________________________________________________ Street Address City/State _______________________________________ ________________________________________________ Phone Number Zip Code E-Mail Address (Please print clearly) __________________________________________________________________________________________ Medical Conditions or Allergies _______________________________________________ __________________________________________ Parent-Guardian/Emergency Contact Name Relationship to player __________________________________________________________________________________________ Emergency Phone/Cell Phone Number VOLUNTEER INFORMATION: I am willing to volunteer as: (Please Circle) Coach Assistant Coach Team Manager ________________________________ __________________________ ________________________________ Name Phone Number Email Address Please sign the following release: I, the parent or guardian of the above named player(s), hereby give my consent to and agree to release, indemnify and hold harmless anyone participating in an advisory or official capacity (including coaches, Board members, volunteers) with Bloomfield Junior Soccer Association, Inc. as well as the Bloomfield Leisure Services and its employees, from any claims arising out of injury to the above named players or spectators. I understand that I must remain present during the entire practice and games unless other arrangements have been made with the coaching staff. Signed ______________________________________________________ Date: ________________________ (Parent or Legal Guardian) CHILDREN MAY NOT BE DROPPED OFF AND PICKED UP FOR PRACTICES AND GAMES 2014/2015 INDOOR WINTER SEASON SOCCER REGISTRATION For girls and boys ages 5 - 14 (contact the League if your child is 4 or under). Previous soccer experience is not required. 1st Practice for recreation teams Friday, Jan 16, 2015 Recreation League:  Practices - Friday Evenings 6:00 pm - 6:50 pm (all rec. teams) at Carmen Arace Gyms. First practice - Friday, January 16, 2015.  Games – 7 game season - Saturdays - Time and location: T.B.D. First game: Jan. 31, 2015 Last Game: March 14. Make up day: March 21. Travel League:  Practices - 1st practice Friday Jan 9, 2015. Season runs through March 21, 2015.  Games - Saturday afternoons at Carmen Arace Gyms between 12:00 and 8:00 pm. Game schedules will be provided by coaches or team managers. IN-PERSON REGISTRATIONS DATES: Please bring cash, bank check or money order. (Personal checks are not accepted.)  Saturday, Nov. 15, 2014: 1:00 - 3:00pm (at the Award Ceremony - Carmen Arace Lobby)  Fridays, Jan. 9 and 16, 2015: 6:00 - 7:30 pm (Carmen Arace Gym) You may mail in your registration or register in person. Please make every effort to register early for us to organize the teams and league. We make every effort to have each child play, but there is no guarantee of placement on a team for late registrations. Registration Fee: $25 per player. Uniform Fee: $10 per player. (New players only, returning players may use their fall uniforms) Mail-in registration: Mail the completed registration form and a bank check or money order (payable to Bloomfield Junior Soccer Association) to: Bloomfield Junior Soccer Association (BJSA) P.O. Box 149 Bloomfield, CT 06002 (Note: Personal checks are not accepted.) Forms dropped off at Bloomfield Leisure Services or through the school system will not be forwarded. Required Equipment For All Players: Shin guards (mandatory for both practice and games for the child’s safety), a soccer ball with your child’s name printed on it in a permanent marker (only for practice), check with your coach for the correct ball size, a pair of black shorts (only for games). Outdoor cleats may not be worn in the gym. Children should wear indoor soccer shoes or regular athletic sneakers. Volunteers: BJSA is a 100% volunteer run organization. We need coaches and team managers to make this program a success. Experience is not necessary as there will be coaching clinics. Background checks are required for all volunteers. Winter Season Coaches Meeting/Clinic - Friday January 9, 2015 6:00 - 7:00 pm Visit our website at www.bjsact.org. Keep a copy of this registration for your record.