7/28/2019 Octorara Soccer Club Fall 2013 Registration Form
1/2
Octorara Soccer Club INTRAMURAL REGISTRATION FORMPO Box 73 Fall
2013 Season
Atglen, PA 19310 Deadline: Deadline July 27, 2013
[email protected] Form must be completed, or it will be
returnedwww.octorarasoccerclub.com & Facebook
Player Information
Name: (First) ________________________________ (Last)
___________________________
Address: ____________________________________________________
Telephone:____________________
City:_________________________ State:_____ Zip:_________
Emergency Cell Phone__________________
Female / Male Birth Date: __/__/__ Age as of Aug 15th ____
Returning / New Player Shirt SizeCircle One MM DD YY Circle One YS
YM YL AS AM AL
School: _________________________________________ Grade: (Pre K
9th
) _________ (Fall 13)
Email (1): _________________________________ Email (2):
_______________________________________OSC- DOES NOT DISCRIMINATE
BASED ON RACE, RELIGION OR GENDER.
Special Placement Requests: The club can no longer honor
requests made.
Tuesday Nights All 1st & 2nd grade teams practice at
6:15-7:15pm. Saturday games at 10:30am
Wednesday Nights Pee Wees (4 yr olds & Kindergarten) train
& play games at 6:15-7:15pm
- 5th 9th grade teams practice at 6:15-7:15pm. Saturday games
9:15am.Thursday Nights All 3
rd& 4
thgrade teams train together at 6:15-7:15pm. Saturday games at
10:30am
Note: OSC is not responsible for games lost due to weather
and/or field conditions. OSC reserves the right to schedule
weather
related make-up games on weeknights during the spring. No
refunds or partial refunds will be made due to games lost because
of
weather and/or field conditions.
FEES$65 per recreational player (payment due when registration
is mailed in)
All applications postmarked on or before July 27, 2013 are
guaranteed a place on an intramural team for theFall 2013
season.
If your application is postmarked after 7/27/13, you will be
placed on a waiting list and a $25 late fee perplayer must be
included.
$30 returned check fee will be
applied__________________________________________________________________________________________Because
OSC is a volunteer-driven organization, it needs your support.
Section below must be completed!
Parent/Guardian: __________________________________
Parent/Guardian: __________________________________
Not able to volunteer____ Order Uniforms____ Not able to
volunteer____ Order Uniforms____
Coach (shirt size) ____ Soccer Parent____ Coach (shirt size)
____ Soccer Parent____
Asst. Coach (shirt size) ____ Equipment Prep____ Asst. Coach
(shirt size) ____ Equipment Prep____
Fundraising____ Willing to Referee____ Fundraising____ Willing
to Referee____
Team Photos____ Team Photos____
7/28/2019 Octorara Soccer Club Fall 2013 Registration Form
2/2
Octorara Soccer Club INTRAMURAL REGISTRATION FORMPO Box 73 Fall
2013 Season
Atglen, PA 19310 Deadline: Deadline July 27, 2013
Form must be completed or it will be returned
For the good of the game, PLEASE:
Applaud superior play by both teams Do not address the referees,
opposing players or opposing fans. This does not apply where
remarks are genuine and encouraging. Avoid remarks toward
players when they make mistakes. (We all make mistakes!) If you
are
aware of the error, rest assured that the player is also aware
of his / her mistake.
Give consistent support to coaches, players and referees whether
your team is winning or losing.The coaches are giving many, many
hours of time and are committed to their own continued
improvement as a coach. In winning, they deserve your
congratulations and in losing they
deserve your encouragement and support.
Avoid comments and gestures that express disagreement with
referee calls. Prolonged remarksor abrasive disagreement with the
referee calls may result in a cardable offense - chargeable to
your team's coaches. Never use foul language.
Always sit or stand at least 3 yards from the playing field's
touch line - and always on thespectator's side. Never interfere
with the coaches or players unless requested.
Please cooperate with any referee or coach's request All
parents, players, coaches & spectators are expected to remove
their own garbage after each
game and/or practice.
If there is lightening and/or thunder, games & practices are
to be halted and people moved to asafe area. After 30 minutes, if
there hasn't been any additional activity, play may resume. After
2attempts, play is to be canceled.
There is a 24 hour cooling off period after an issue has arisen
before the parent is to speak w/ acoach, another parent or OSC
administrator.
Players suspected of having a concussion must provide their
coach a doctors note prior toreturning to play OSC follows the
Octorara School Districts concussion policy.
If you cannot abide by the code of conduct then we would insist
that you do not attend ourgames. The League adopted a policy of
withdrawing the registration of a player who hasparents/guardians
who fail to meet acceptable behavior at a loss of expenses you may
haveincurred upon joining our team.
RELEASE STATEMENT: I, the parent/guardian of the registrant, a
minor, an adult registrant of legalage, agree that I and the
registrant will abide by the rules of the EPYSA, OCTORARA SOCCER
CLUB(OSC), its affiliated organizations and sponsors. Recognizing
the possibility of physical injury
associated with soccer and in consideration for EPYSA and OSC
accepting the registrant for its soccer
programs and activities, I hereby release, discharge and/or
otherwise indemnify EPYSA, OSC, its
affiliated organizations and sponsors, their employees and
associated personnel including the owners of
the fields and facilities utilized for the Programs, against any
claim by or on behalf of the registrant as aresult of the
registrants participation in the Programs, and /or being
transported in case of emergency,
which transportation I here authorize. I also authorize the full
use of my childs photo and or likeness byOSC on their website,
flyers, or other such advertisements or photo opportunity events
sponsored by
OSC.
Parent/Guardians Name _____________________ Parent/Guardians
Name ___________________
Parent/Guardian Signature
___________________________________________ Date: _________
