Sunday, September 05, 2010
   
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ST. CHARLES COUNTY YOUTH SOCCER ASSOCIATION (SCCYSA)

 

 

 

*  ASSN COACH *

 

Team Number:     Team Age:    Team Gender:   

 

HEAD COACHES NAME:

Your Child's Name      Your Child's Date of Birth (or age)

First Name: MI: Last Name:     Birth date:

Street Address:     City: , MO    Zip Code:
Phone:      Work:      Cell:  
EMAIL ADDRESS:      Gender:     

License Level:             

License Number:    or     SCCYSA Certificate Number:

PLEASE READ ENTIRE AUTHORIZATION 

I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, US Club Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player's participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.

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SCCYSA COACHES MUST ABIDE BY THE FOLLOWING PRINCIPLES OF CONDUCT

1. My first responsibility is the health and safety of all participants.
2. I will develop the child's appreciation of the game.
3. I will keep winning and losing in proper perspective.
4. I will utilize proper teaching and instruction of players regarding safe techniques and methods of play.
5. I will provide the appropriate number of training sessions and games according to the players' stage of development.
6. I will conduct practices in the spirit of enjoyment and learning.
7. I will supervise and control my players so as to avoid injury situations.
8. I will limit sideline coaching - the players need the opportunity to play their own game.
9. I will be sensitive to each child's developmental needs, and treat each player as an individual, remembering the large range of emotional and physical development for the same age group.
10. I will educate the players to the technical, tactical, physical, and psychological demands of the game for their level.
11. I will implement rules and equipment modifications according to the players' age group.
12. I will remember that players need to have fun and receive positive feedback.
13. I will know and follow all the rules and policies set forth by clubs, leagues, state and national associations.
14. I will work in the spirit of cooperation with officials, administrators, coaches and spectators to provide the participants with the maximum opportunity to develop.
15. I will be a positive role model and conduct myself in a controlled manner on the field.
16. I will set the highest standard for sportsmanship with opponents, referees, administrators and spectators.

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I have read, understood, and agree to the Medical Treatment Authorization and the Principles of Conduct above:

When you click the Submit button, your Registration form is submitted to our office.

YOU WILL AUTOMATICALLY BE DIRECTED TO BACKGROUND CHECK WHEN YOU HIT SUBMIT. EVERY ADULT WHO INTERACTS WITH THE CHILDREN MUST COMPLETE BACKGROUND CHECK AND RECEIVE AN ID BADGE FROM SCCYSA.