Baltimore
County Department of Recreation and Parks
7th
District Recreation Council
OUTDOOR
SOCCER 2008
Fun
– Fitness - Fundamentals
In-person registration:
Wednesday, May
28th 2008 6:30pm to 8pm in the 7th District Elementary
Gym Hallway
Under 16/18 (Coed) Tenth, Eleventh, Twelfth Grades $60 per
player
Under 15 Seventh, Eighth,
Ninth Grades $60
for 1 child, $110 per family
Under 12 Fifth and Sixth
Grades $60 for 1 child, $110 per family
Under 10 Third and Fourth
Grades $60
for 1 child, $110 per family
Under 8 Second Grade $60 for 1 child, $110 per family
Under 7 (Coed) First Grade $60 for 1 child,
$110 per family
Clinic (Coed) Kindergarten $60 for 1 child, $110 per family
Free coaches clinic
given by
Good for all age groups,
clinic through U18 levels. Great
instruction, even more fun.
We need
coaches !!!
The soccer
program does not happen without YOU !!
No soccer
experience necessary, just a love for athletics,team building and having fun !!
Important Notes:
1.
Clinic players receive a #3 ball,
T-shirt, shorts, socks and trophy. U7
and U8 receive T-shirt, socks and trophy. U10, U12, and U15 receive trophy. U18
receives T-shirt. Ref fee’s included for
age groups U8 and above (no refs for U7 and Clinic).
2.
Registration deadline is July 1, 2008.
Registration forms received after the deadline of July 1st will be assessed a Late
Fee of $10.00 per child or family and the player(s) will be placed on a waiting
list based on team availability.
3.
Checks for all groups should be made
payable to “7th District Recreation Council”. No refunds can be made after July 1 st.
4.
Please complete the registration form on
the back of this flyer, as soon as possible and bring it to the school on the
registration dates, shown above OR Mail it as soon as possible to:
Trevor Kilgore 549 Bentley Road Parkton, MD 21120
5.
Practices will start the week of August 4
th and the games will tentatively start the
week of August 25 th and run through mid-October.
6.
All groups, except the kinder clinic,
will play at all five schools:
7.
Coaches may distribute rosters with
addresses, phone numbers and e-mail addresses.
If there are any
questions or concerns, please contact the 7thD Soccer Commissioner
Trevor Kilgore at 410-329-6276 or email to
trevortkilgore@comcast.net
Should
you require special accommodations (i.e. sign language interpreter, large
print, etc.), please contact the Therapeutic Office at (410) 887-5370(voice),
(410) 887-5319 (TTD).
PLEASE USE ONE REGISTRATION FORM FOR EACH CHILD
Paid $_______
Check #______
7th
District Recreation Council
OUTDOOR
SOCCER 2008 REGISTRATION
Player’s
Name__________________________ Male/Female D.O.B
._______________
Address__________________________________________________________________
City/Zip
Code________________________________________
School_______________________________ Grade in Fall 2008____________________
Phone_(H)________________
__(W)________________ (Cell)______________________ Email_______________________________2nd
Email_______________________________
Parents/Guardian’s
Name______________________________
Emergency Phone Number and Contact
Information (REQUIRED)
Person______________________________________Phone__________________________
Physician
_________________________ Physician’s
Phone #_________________ (required)
Soccer
Experience: Outdoor__________ Indoor____________ Travel____________
Will your child also
play travel soccer this season? Yes_____ No_______
Do you know of any
possible time conflicts? Yes_____ No_______
If yes,
____________________________________________________________________
Volunteers
are needed to make this program the best it can be. We need help from all parents at some level
during the season. This includes
concession stand help as well as the areas below.
A.
Coach
B.
Assistant Coach
C.
Administrative –
Team Parent – Phone Tree
D.
Equipment and
Uniform Coordinator
E.
Age Group
Coordinator (collect scores, make weather related calls to coaches)
___
Please check if special accommodations are requested. If the participant has a disability and
requires special accommodations, please explain:
____________________________________________________________________
To the parent: It is
necessary that you read and complete all information for the protection of your
child.
1. Are there any medical or other health factors that might affect your child’s’ performance in this activity?
No_____ Yes_____
2. Is your child taking any medication that might affect his/her safety or performance in this Activity?
No_____ Yes_____
NOTE: If the answer to questions 1 or 2 above is yes, a medical release
will be required.
I hereby acknowledge that I have read and fully understand the above-mentioned facts. I further certify
that all answers, to the best of my knowledge are true and correct. I hereby agree to abide by all rules
and regulations as established by the Baltimore County Department of Recreation and Parks and the Recreation Council. I agree that when I leave this activity or at its completion, I shall return any and all equipment
issued to me. I further agree that I will not hold Baltimore County Department of Recreation and Parks and
its employees or any Recreation Council, the organizers, sponsors, supervisors, volunteer leaders or participants responsible for injuries or any unforeseen accident while participating in the above named activity. I will inform
the Commissioner of any
medical or health factors, which may affect my child’s participation in this
activity.
Parent/Guardian’s Signature _____________________ Date ___________