Birmingham Bloomfield Soccer Club
Fall 2015 Registration Form
Blf(y;er Information
Name:
Date ofBhih:
Address:
Age:
School:
Sex: Male or Female (Circle)
Grade:
Phone Number:
Email:
Parents/Guardian Name:
Coach: YIN
(Please circle, or indicate request)
Instructions: A copy of the players bilih ce1iificate is required if they are new to the BBSC. Please send to
BBSC, 16291 W. 14 Mile, Ste. 6, Beverly Hills, Ml 48025 (248) 644-2255
**Season Dates: Games begin 9/12 and end 11/1; notification of team assigmnent will occm after 8/25.
**League Fees: $l10 per player via online registration ($125 per player via mail-in form) Make check
payable to BBSC or register online at bbscsoccer.org. Registrations received without proper payment will
be returned. Refund policy available online.
**Deadline: 8/1/2015 Registrations postmarked after 8/1/2015 deadline will be considered late.
**Late Registration: $140; NO special requests for late registrations. Late registrants will be placed on
wait list in order received. Checks will be returned if player is not assigned to a team by second game of the
season. Once a late registration is placed there are no refunds.
**Eligibility: All players must reside within the Binningham Public School District, or attend a school
within the Birmingham School Disn·ict.
**On-Line Registration: Available at www.bbscsoccer.org on June 20, 2015.
TOT Program Info On-line (3/4 year olds)
DU-8 8/1/07 - 7/31/08 (2"d grade)
D U-5 8/1/010- 7/31/11 (Pre-K)
DU-10 8/1/05 - 7/31/07 (3rct & 4th grade)
D U-6 8/1/09-7/31/10 (K)
DU-12 8/1/03 -7/31/05 (5 1h & 6th grade)
D U-7 8/1/08-7/31/09 (1'1 grade)
D U-14 8/1/01-7/31/03
(i" &
8th grade)
\Ve will abide by the
BBSC ntles and recognize that soccer is a contact sport and \Ve \Vill accept all risks of injury. 'Ve release the BBSC, its
Board !-.1e1nbers, coaches, and referees from any and all liability. By signing this registration form, I ('Ve) agree to
As parents and/or legal guardian for the registered player, on behalf of the player and all others,
abide by all the mies and regulations of the MSYSA and USYSA and BBSC.
Parent/Guardian Signature._ _ _ _ _ _ _ _ _ _ Date._ _ _ __
Check No. _ _ _ __
Concussion Information provided on back side. Please read
and sign before sending in registration!
The State of Michigan has enacted Concussion Legislation (Michigan Public Acts 342 and 343 of 2012 or MCL
333.9155 and 333.9156). Please read the below concussion information and both the player and parent/guardian
need to sign and return to the office. If registering online, you will sign electronically during the registration
process. To learn more on concussions, go to www.CDC.GOV/CONCUSSION.
CONCUSSION DANGER SIGN.S
In rafe cases, a dangerous blood clot may form on the
brain in a person with a concussion and crowd the brain
against tile skull. An athlete should receive immediate
medical attention if after a l)ump, blow, or jolt to tlie
head or body s/he exh.ibits any of the following danger
signs:
One pupil larger than the olher
Is drowsy or cannot be awakened
• A l1eadache thai" gets worse
' Weakness, numbness, or decreased coordination
Repeated vomiting or nausea
• Slurred speech
Convu!Sions·or seizures
• · Cannorrecognize people or places
• Becomes ·increasingly .confused, restless, or agita.ted
Has unusual behavior.
·
Loses consciousness (even a brief loss of conscio'usness
should b~ taken seriously)
WHY SHOULD AN ATHLETE REPORT
THEIR SYMPTOMS?
. -· .... '.
If an athlete has a concussion, his/her brain needs time to
heal. While an ·athlete's brain is still healing, s/he is much
more likely to have another concussion. Repeat concussions
can increase the time it takes lei recover. In rare cases,
repeat concussions in yming athletes can result in brain
swelling or permanent·damage to their brain. They can even
be fatal.
STUDENT-ATHLETE NAME PRINTED
STUDENT-ATHLETE NAME S,IGNED
WHAT SHOULD YOU DO IFYOUTHINI<·
YOUR ATHLETE HAS A CONCUSSION?
L
If you .suspect that an athlete lias a concussion,
remove the athlete from play and seek medical
attention. Do not try to judge the severity of the
injury yourself. l<eep the athlete out of play the day
of the injury and until a health care professional,
experienced in evaluating for concussion, says s/he is
symptom-free and it's Of< to return to play.
DATE
PARENT OR GUARDIAN NAME PRI.NTED
a
2. Rest is key to helping an athlete recover from
concussion. Exercising or activities that involve ·a
lot of concentration, such as studying, working .on
the computer,· and playing video games, may cause
concussion symptoms to reappear or get worse.
After a concussion, returning to sports and school is
·a gradual process that should be carefully managed
and monitore·d by a health care professional.·
3. Remember: Concussions affect people differently.
While most athletes with a: concussion recover
quickly and fully, some will have sytnptoms that last
for days, or even weeks. A more serious concussion
can last for months or longer.
PARENT OR GUARDIAN NAME SIGNED
DATE
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BBSC FALL 2015 SEASON FACTS
US (Pre-K)- U14 (8th Grade)
The coaches will contact their players with game and team
information after the coach's meeting which is on Tuesday, August
25th.
The season starts the weekend of September lih and ends the
weekend of October 31st.
The U5 (Pre-K) and U6 age groups (kindergarteners) have practice
and games on Sunday afternoon for about an hour total. An eight
game season is planned for these age groups.
All other age groups practice during the week and play their games on
Saturday or Sunday (or both). Sunday games begin after 12 noon. An
eight game season is planned.
All games are played within the Birmingham School district, except
U12 and U14 teams that may schedule with other leagues to provide
an enhanced schedule.
No fee adjustments for weather related cancellations.
NO JEWERLY OF ANY KIND IS PERMITTED DURING
PRACTICE OR GAMES
All players need to bring their OWN ball to practices.
U5, U6, U7, U8 age groups use size 3 balls
UlO, Ul2 age groups use size 4 balls
U14 age group uses size 5 balls
BBSC weeknight training schedule
• BBSC scheduled training statis Tuesday, September gt".
• The BBSC scheduled training sessions are:
o U7 and US boys/girls practice either Monday or Tuesday
5:45pm-6:30pm or 6:30pm-7:15pm
o Ul 0, Ul2, and U14 boys/girls practice either Wednesday or
Thursday 5:45p1n-6:30pm or 6:30pm-7:15pm
o All teams are expected to attend the league scheduled training
sess10ns.
o Team coaches select the date/time slot their team will practice.
In some cases it can differ from above schedule.
o Specific practice day can NOT be requested by players on their
registration form
• The location for the training sessions is at Groves High School