2014 REGISTRATION FORM Player Name:________________________________________________Birth Date:_______________ (please print) Male:Age as of 4/30/14:_________ Female:Age as of 01/01/14:_________ Current Grade:______ PRIMARY CONTACT INFORMATION (please print) Name:__________________________________________________________________________ Address:________________________________________________________________________ Email:__________________________________________________________________________ Home Phone:________________________________Cell Phone:__________________________ MOST COMMUNICATIONS WILL BE DONE VIA PRIMARY EMAIL ADDRESS! Check Below Division Days Fee ____________ ____________ T-Ball (5-6 year olds) T-Ball (5-6 year olds) M/W *T/Th $30.00 $30.00 *Depends on interest and number of registrations. 1st choice will try to be honored but not guaranteed. Games played on Brice Prairie (BP). Player receives shirt and hat. ____________ Rookie (7-8 year olds) T/Th $30.00 Teams will play on BP and Holmen fields; Tournament game on last Saturday in July. Player receives shirt and hat. ____________ ____________ ____________ ____________ ____________ Baseball Baseball Baseball Baseball Baseball 10 & under 11 & under* 12 & under 13 & under* 14 & under M/W T/Th T/Th T/Th T/Th $50.00 $50.00 $50.00 $50.00 $50.00 Teams will play on BP & travel to other communities, participate in multiple practices, and tournaments. Player receives jersey and hat. *Depends on number of registratons. ____________ ____________ ____________ Softball Softball Softball 10 & under 12 & under 14 & under M/W M/W M/W $50.00 $50.00 $50.00 Teams will play on BP & travel to other communities, participate in multiple practices, and tournaments. Player receives jersey and visor. T-Ball & Rookie T-Shirt Sizes (circle) Youth sizes: S-6/8 M-10/12 L-14/16 XL-18/20 Baseball & Softball Jersey Sizes (circle) Youth sizes: YS YM YL Adult sizes: AS AM AL AXL A2XL Do you give permission for your child to bat in front of a pitching machine with supervision? Yes No Parent initials__________ Interested in Coaching? Head Coach: Yes No Assistant Coach: Yes No Registrations form(s) will be accepted only in person on the 3 Registration Days! (See 11.B & 11.C) Program Use Only: Date Paid:___________________________ Family Discount of $100 Applied: Division Fee: T$30 R$30 BB$50 SB$50 Volunteer Fee: $60 check Payment: check #________________cash____________ Chicken Q tickets: $32 Y N Y N $_____ Paid Y N Envelope/Paid $40 $48 1. EMERGENCY RELEASE: I/We, the parent(s)/guardian(s) of the child named herein, a registered player in the Brice Prairie Youth Baseball/Softball Program hereby give my/our approval to his/her participation in any and all Brice Prairie Youth Baseball/Softball Program team activities during the 2014 season. I/We assume risks and hazards incidental to such participation. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the Brice Prairie Youth Baseball/Softball Program, its teams, the board members, the organizers, coaches, sponsors, supervisors, participates, and any person transporting my/our child to and from the activities, except to the extent and in the amount covered by the automobile accident insurance or liability insurance of said person(s) or organization. 2. I/We state the player named herein has no medical problem(s) or prohibitions except as listed:_______________________________________________________________________ 3. In case of emergency, when parent/guardian is not available, please notify: Name:_____________________________________________Relationship to player:_________ Home Phone:______________________________Cell Phone:____________________________ 4. Our Family Doctor is:_________________________________________________________ [ ] Gundersen Health System, La Crosse (782-7300) [ ] Gundersen Health System, Onalaska (782-1800) [ ] Mayo Clinic Health, La Crosse (782-9760) [ ] Mayo Clinic Health, Holmen (526-3351) [ ] Mayo Clinic Health, Onalaska (392-5000) [ ] Other/Phone #:___________________________ 5. AUTHORIZATION TO CONSENT TO TREATMENT OF A MINOR: I/We, the undersigned parent(s)/guardian(s) of the individual named herein, a minor, do hereby authorized the Brice Prairie Youth Baseball/Softball Program team, as agents for the undersigned, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable and is to be rendered under the genteral or special supervision of any physician and surgeon licensed under the provisions of the medical practice, on the medical staff of any hospital or clinic, whether such diagnosis or treatment is rendered at said hospital. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of the aforesaid agents to give specific consent to any and all such diagnosis, treatment, or hospital care which aforementioned physician in the exercise of his/her judgment may deem advisable. This authorization is given pursuant to any provisions existing under the Civil Code of Wisconsin. This authorization shall remain in effect until the completion of the 2014 season unless sooner revoked in writing and delivered to said agents. 6. PHOTO RELEASE: I/We, the parent/guardian, of _____________________________________________, do hereby give permission to the Brice Prairie Youth Baseball/Softball Program to publish my son/daughter's photo on their website or in a newspapers when applicable. I also knowingly accept that my son/daughter's name and birth date will be on a published roster and that we may be asked to provide a birth certificate as proof of age. Parent/Guardian Signatures________________________________________________________________________________ Page 2 of 5 7. PARENT/GUARDIAN YOUTH SPORTS CODE OF CONDUCT: Preamble The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and six core principles: trustworthiness, respect, responsibility, fairness, caring, and good citizenship. The highest potential of sports is achieved when competition reflects these "six pillars of character." I/ We therefore agree: A. I/We will not force my child to participate in sports. B. I/We will remember that children participate to have fun and that the game is for youth, not adults. C. I/We will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of others. D. I/We will learn the rules of the game and the policies of the league. E. I/We (and my/our guests) will be a positive role model for my child and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or sporting event. F. I/We (and my/our guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player, or parent such as booing and taunting, refusing to shake hands, or using profane language or gestures. G. I/We will not encourage any behaviors or practices that would endanger the health and well-being of the athletes (i.e. heat exhaustion/heat stroke). H. I/We will teach my child to play by the rules and to resolve conflicts without resorting to hostility, violence, or bullying. I. I/We will demand that my child treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability. J. I/We will teach my child that doing one's best is more important than winning, so that my child will never feel defeated by the outcome of a game or his/her performance. K. I/We will praise my child for competing fairly and trying hard, and make my child feel like a winner every time. L. I/We will never ridicule or yell at my child or other participants for making a mistake or losing a competition. M. I/We will emphasize skill development and practices and how they benefit my child over winning. N. I/We will promote the emotional and physical well-being of the athletes ahead of any personal desire I may have for my child to win. O. I/We will respect the officials and their authority during games and will never question, discuss, or confront coaches at the game field, and will take time to speak with coaches at an agreed upon time and place. P. I/We will demand a sports environment for my child that is free from drugs, tobacco, and alcohol, and I will refrain from their use at all sports events. Q. I/We will refrain from coaching my child or other players during games and practices, unless I am one of the official coaches of the team. Parent/Guardian Signatures_______________________________________________________________________________ Page 3 of 5 8. 2014 VOLUNTEER SEASON SERVICE HOURS: A. Each family will be required to volunteer 4 Season Service Hours signed up for the Brice Prairie Youth Baseball/Softball Program's T-Ball, Rookie, all levels of Baseball, and all levels of Softball divisions. It is the responsibility of each family to find times to fill there required Season Service volunteer hours. Phone calls will not be made to recruit for help. B. A list of Season Service opportunities will be posted on www.volunteerspot.com. It is your responsibility to remember your volunteer dates, times, and locations. A reminder email may be done prior to the volunteered date/time done by volunteerspot or reminder/phone call done by a representative of Brice Prairie Youth Baseball/Softball. A family will not allowed to sign up for any service hours until they have signed and returned the Volunteer Policy form and the required deposit has been received by Brice Prairie Youth Baseball/Softball. Sign up is on a "first come, first serve" basis. C. The Brice Prairie Baseball/Softball website (briceprairieball.org) will contain a link to Volunteerspot and the site will contain the approved volunteer lists. No other jobs, unless approved prior to the act, will be accepted as Season Service hours or Tournament Service Positions. A coach cannot approve volunteer positions without prior approval from the board. D. For Tournament games, no requests will be honored during tournament play for concession placement; if your child is playing at another field unless the parent has found a reliable adult replacement. 9. 2014 VOLUNTEER SERVICE SEASON FEES: A. A separate deposit of $60 will be due at the time of registration per family. This check will be kept in a safety deposit box and will not be cashed during the season. This check will be mailed back to you after August 31st if you have met the required amount of Season Service hours as applicable. A separate check must be written from the Registration Fees. B. If a family does not meet the required Season Service hours by the time the season is completed, the check will then be cashed and deposited into the Brice Prairie Youth Baseball/Softball account after August 31st. If the check is not honored due to non-sufficient funds, it is the responsibility of the family to cover the dishonored check and any bank charges assessed to Brice Prairie Youth Baseball/Softball. C. If only a portion of a family's required hours have been met, the check will then be cashed and deposited after August 31st and a refund of $15.00 per Season Service hour time completed will be returned to each family. D. If a family has no child playing (i.e. health issues) for the program during the season and the service hours for the season have not yet been met, the check will be returned to the family upon receiving a written request and a majority vote by the Board members after the Board's next meeting. E. A blank envelope will be provided to each family during registration. At that time, an adult family member will print their address on this envelope and place their check inside the envelope. This will the envelope Brice Prairie Youth Baseball/Softball places a stamp on and returns to each family after August 31st. 10. 2014 VOLUNTEER SERVICE SEASON REQUIREMENTS: A. The volunteer job completed will be recorded according to the family's name. Any adult on behalf of that family may fill a job. Only the family's name listed on Volunteerspot will receive credit for the job worked. B. Once you have confirmed to a job, it is YOUR responsibility to find an adult replacement for that job in the event you are unable to fill your scheduled service time. However, prior approval is required if instead of a parent/adult volunteering; a parent wishes to supervise a child or, if the replacement is under the age of 18 or if there would be multiple children assisting a parent/adult. C. When a volunteer has completed their job, they must sign the sign-up sheet posted; please include your email and a varification email will be sent to that listed email. D. It is the parent's responsibility to make sure their jobs have been confirmed correctly! If there are any problems found, a parent should contact the Coordinator or the Brice Prairie Secretary. Appeals must be made within 2 weeks from the date of service worked or they will not be considered. E. In the event of inclement weather or unforeseen circumstances, it is your responsibility to report for your scheduled position or service hours unless you were notified by a Brice Prairie Youth Baseball/Softball representative. A Brice Prairie Youth Baseball/Softball representative will also notify you either then or at a near future date whether your service hours or tournament position will be rescheduled to another time. If it cannot be rescheduled, you will receive credit for your time. F. Coach's names (3 per team which include 1 head coach and 2 assistant coaches) will be determined at the Coach's Meeting and/or will be submitted in the beginning of the season prior to 05/15/14 and be approved by the Board. These coach's names will be posted on the Brice Prairie Baseball/Softball's website. The families in these positions will automatically fulfill their required Season Service hours for their family's account. G. If at any time a family cannot fulfill their Season Service Hours due to hardship, a request can be made to a Board Member and an exemption letter will be reviewed at the Board Meeting and the parent will be notified of the results. Parent/Guardian Signatures________________________________________________________________________________ Page 4 of 5 11. Other Items: A. By registering your child to Brice Prairie Baseball/Softball does not secure a spot on a team. This is not based on a player's talent but rather the team's structure. If your child does not make it to the roster then a Registration refund check will sent back along with your Volunteer Season Service check. Decisions will be made by the Board Members for the Brice Prairie Baseball/Softball by 5/01/14; a letter and checks will mailed after that date. B. Registrations form(s) by mail will not be accepted. Late Registration form(s) as of 3/23/14 will incur a $15.00 penalty per player; contact [email protected] for enrollment possibilities. C. If a Registration form is not turned in on the Registration dates and held by coaches until coach's meeting; that player will not be considered in the 2014 Season. No exceptions! All registrations must be received by the last registration date. D. Any requests made by the parents for their player will be taken into consideration but may not be approved (i.e. car pooling, coach preference, or team player preference). E. If a parent is requesting their child to play in a division (playing up or playing down); that does not fit with the player's age. You must fill out a "Play-up Request" or "Other-Play Request" form and submit to a Board Member. The Brice Prairie Baseball/Softball will notify the parents of the decision. These forms will be available on our website and on the Registrations dates. F. We have a ZERO tolerance of Bullying. If your player is receiving bullying; please inform the coach and/or contact a Board Member (i.e. President of the Brice Prairie Baseball/Softball) for the situation to be dealt with. If your player is committing the bullying (taunting, name calling, booing) and receives a warning from a member of the Board of Brice Prairie Baseball/Softball. The negative behavior is at any time or at any location (i.e. school bus, school, practice, game, etc...). Your player may be suspended or removed from the Brice Prairie Baseball/Softball Program for the entirety of the season depending on the circumstances deemed by majority vote of the Board Members. If your player is removed for behavioral reasons; no refunds of any kind will be returned. G. Brice Prairie Baseball/Softball uses a heat index policy for all of our outdoor practices/games, which you can find on our website. This policy is addition to any other weather (rain, lightning, etc) policies that are used in the softball/baseball league. To accommodate travel times, our coaches will have a final decision to cancel games determined and to the player/parents by 3:00pm for 5:30pm games and 4:00pm for 7:00pm games. For practices or other activities (camps, scrimmages), the coach will give player and parents one hour minimum notice. H. Players and their parent/guardian complete the YOUTH PLAYER CODE OF CONDUCT form. I. Anyone helping with coaching during games or practices; complete the COACH'S CODE OF CONDUCT and PHOTO RELEASE form. J. Maximum Registration Fees of $100.00 per family. K. Mandatory Service Season Volunteer Deposit of $60.00 per family. L. No Registration Fee Refunds after 4/30/14. M. Any player leaving after 5/01/14 and before uniforms are given out will not receive the uniform. N. If a family has a NSF (non-sufficient funds) check and does not reimburse the organization for the amount of the check along with any bank fees within 60 days of the original check; that family agrees to pay in cash or cashier check for the remaining seasons the family is enrolled in the organization. O. All money for Registration and Volunteer hours need to be submitted for a registration form to be considered. If funds aren't available a post-dated check(s) can be used but not to exceed over 30 days from the last date of registration (3/10/14). P. League & Team Placement final as of 5/11/14 for Baseball 10U thru 14U and Softball 10U, 12U, 14U. Team Placement final as of 5/18/14 for Rookie and T-Ball. Q. Families must participate in the fund-raising efforts to continue to make Brice Prairie Youth Baseball/Softball a continued success. By signing below, I/we understand and give consent to the above mentioned (Items 1 -11). Parent/Guardian Signatures:________________________________________________________________ Parent/Guardian Printed Names:_____________________________________________________________ Date:__________________________ Page 5 of 5