Bainbridge Island Lacrosse Puget Sound Youth League Summer Grades 6/7/8
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1 Bainbridge Island Lacrosse Puget Sound Youth League Summer Grades 6/7/8 The Bainbridge Island PSYL Summer Program for one 6/7/8 team for 2013: Summer lacrosse is perfect for keeping your skills sharp or introducing you to the game before the regular season arrives in the spring. PSYL teams are run by top-notch coaches and practice on Mondays and Wednesdays so it does not interfere with other sports. Bainbridge Island is proud to be a participant in the Summer 6/7/ PYSL Lacrosse Program. BI PYSL will field a Middle School team (6 th / 7 th /8 th ) comprised of 20 players for the Summer Season (Jun-Aug). The team will participate in Jamborees against the other participating PYSL programs. Emphasis is on developing skills to prepare players for the coming Spring Season Practices and Games: Practices will be held twice weekly, Mondays and Wednesdays from 6/24/13 8/21/13 from 6:00 pm 8:00 pm. Players will be responsible for their own travel arrangements to and from practice and jamborees. Games will be finalized in the coming weeks. Cost: $ Bainbridge Island PYSL (SUMMER Season) Fee Breakout: $ Fee Registration, PSYL shorts, all local games and tournament fees, Coaches stipends, field time and referee costs. Does not include individual travel. SUMMER BI PSYL Timeline: Registration Opens: 5/1/13 online at Practices begin 6/24/13 WMS Grass field 6-8 pm Game schedule: TBA Season Ends 8/24/13
2 BI PSYL FORMS and REGISTRATION and PAYMENT INFORMATION Each player must complete and submit prior to first practice (6/24/13): Player registration form (prior to first practice) Expectations of Player Conduct Guidelines o Serves as a guideline for how individuals are expected to behave when participating in BI PSYL Sports or activities. Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement Emergency Information Card o In the event of needed emergency medical treatment for a sick or injured player with supplemental emergency contact information in case a parent is not present. Parent / Player Contract o This document has been carefully drafted to thoroughly describe the obligations of the parents and players US Lacrosse Membership Form o Each BI PSYL player is required to be a member of US Lacrosse in order to be covered under our insurance policy. If you are not a member, please go to this link and sign-up: If you are a member and were issued a number in February of 2013 for the Spring Season and cannot find your membership number, call the membership department at ext. 102 or send an to membership@uslacrosse.org Registration and Payments, POC and Team Mangers A player is considered registered to the team upon receipt of a completed registration forms, including payment of registration fees. All registration and payments for $ are submitted directly to BI PSYL POC Allison Sprott. Please make checks for $ payable to 7 Brothers Lacrosse. o Mail along with all registration forms to : BI PSYL c/o Allison Sprott 8356 New Holland Ct. NE Bainbridge Island WA o Questions? Please contact Allison Sprott at alsprott@comcast.net or or Jack Visco at jev@nwlink.com or A Team Manager for Team will be needed to support the POC and PSYL program through the summer. If you are interested, please contact Allison Sprott.
3 Expectations of Player of Conduct The Expectations of Conduct shall serve as a guideline for how individuals are expected to behave when participating in BI PSYL Sports or activities. BI PSYL players should represent their club in a way that does not detract from the reputation of the PSYL organization they are representing, and to act morally and display sportsman-like behavior before, during, and after any competition. Guidelines of conduct include, but are not limited to the following: Participants Shall Not: - Use drugs, except for medical purposes, while traveling, competing, socializing and/or using facilities spaces. - Consume alcohol while traveling (from the time a team leaves to the time it returns), competing or spectating. - Strike, attempt to strike, or otherwise physically abuse an official, opposing player, spectator or coach. - Violate any host facility rules or policies. Violations of the Standards of Conduct may result in: - Forfeiture of all BI PSYL team travel rights for the Summer Season Team Responsibilities will include: - Educate club members of the Standards of Conduct and consequences of misconduct. - Ensure that all team members adhere to the Standards of Conduct. I have read and will abide by the above guidelines. Player Signature Date
4 BAINBRIDGE ISLAND PSYL (Puget Sound Youth Lacrosse) RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT (Parental Consent for Minor) I acknowledge that I have enrolled my child, in a lacrosse program promoted by PSYL and I agree to this release and waiver of liability in consideration of the opportunity for my child to participate in lacrosse. ACKNOWLEDGMENTS: My child and I understand that lacrosse: 1. Involves playing an aggressive contact sport with others. 2. The sport inherently involves a high degree of risk that could result in serious bodily injury or death to my child or to other participants. AGREEMENT: By enrolling my child in the lacrosse program, I certify that my child and I are cognizant of all of the inherent dangers of participating in lacrosse. I further certify that my child is familiar with the rules of the game and of the field and will to the best of their ability play under control and avoid injury to themselves and other persons playing the game. I understand that my child should not participate in this program if he/she is under the influence of drugs or alcohol or if there are any other physical conditions that may impair his/her ability to understand instructions or to participate without creating risk to him/herself or others. RELEASE AND INDEMNIFICATION: For and in consideration of the right for my child to participate in lacrosse, I hereby assume all risks associated with lacrosse, including the negligence of PSYL and will hold PSYL and its sponsors, subcontractors, directors, officers, employees, agents, and/or instructors harmless from any and all liability, actions, causes of action, debts, claims, demands of every kind and nature whatsoever which may arise out of or in connection with child s participation in any activities arranged for my child by PSYL. I accept full responsibility for the cost of treatment for any injury suffered by my child while taking part in the program. The terms hereof shall serve as a release and assumption of risk for my heirs, executor and administrators and for all members of my family including any minors accompanying me. I further state that I am of lawful age and legally competent to agree to this affirmation and release: that I understand the terms herein are contractual and not a mere recital. I have agreed to this document as my own free act and if I have any doubts concerning the contents of this release agreement, I will consult an attorney before agree to it. Printed name of Parent Printed name of Participant Signature of Parent Date
5 EMERGENCY INFORMATION CARD BAINBRIDGE ISLAND PSYL Athlete s Name Age Parent/Guardian No. 1 Name Address Birth Date Home phone telephone # Parent/Guardian No. 2 Name Address Home phone telephone # Grade Mother s work # Cell # Father s work # Cell # Persons to call if parent/guardian cannot be reached: Phone Phone Preference of physician: Phone Hospital preference Insurance carrier Policy # MEDICAL INFORMATION Medical illnesses Last tetanus booster shot (month/year) Medications Allergies Previous head, neck or back injuries Prior heat related problems Wears contact lenses while playing: YES Braces or retainer: YES NO Previous significant injuries Other NO Parent/Guardian Signature Date
6 Bainbridge Island PSYL (Puget Sound Youth Lacrosse) Parent / Player Contract ************PARENT/GUARDIAN************ 1. I will encourage my child to play by the rules and to resolve conflicts without resorting to hostility or violence. 3. I will praise my child for trying hard and competing fairly and thus make my child feel like a winner every time. 4. I will never ridicule or yell at my child, other players, coaches or officials. I will cheer all good plays and avoid booing opponents. 5. I will respect and show appreciation to the volunteer coaches and officials who give their time to my child. 6. I will respect all officials and their decisions. This is because I understand that all officials do their utmost to, be impartial, provide a safe and suitable playing framework and see that the game is well played. 7. I will not question the official s bias or judgment in public nor encourage that behavior in my child. 8. I will show respect for my team s opponents, because without them there would be no game 9. I will not use profanity, nor will I harass players, coaches, officials or other spectators. 10. I will remember that my child plays lacrosse for his/her enjoyment and not mine. 11. I will not force my child to participate in lacrosse. 12. I have read the Expectation of Player Conduct and will help my child with those expectations. I promise to abide by this Code of Conduct. (Please print your name) Parent s Signature X Date ************PLAYER************ 1. I will adhere to the BI PSYL Zero-tolerance Policy. If I am caught using or under the influence of alcohol or narcotics other than those prescribed by a doctor, I may be sent home immediately from practice or a jamboree at my parent s expense and/or kicked out of the program. 2. I will always follow the basic rules of Fair Play. I will respect the rules of the game, my opponents and the officials and their decisions. Everyone on the bench will participate and I personally will maintain my self-control at all times. 3. On game day, all players shall arrive at least 45 minutes prior to game time for warm-ups. Players shall be fully dressed and ready to go at least 30 minutes prior to game time. This period will be necessary to discuss team strategies and game plans. If you require more time to dress, come earlier. 4. On practice day, players shall arrive at least 20 minutes prior to practice start time. 5. Players shall participate in every game and every practice except for illness, injury or school events. If a player must miss a game or practice, he/she must contact the coach as soon as possible. 6. School shall take precedence over Lacrosse. 7. Foul language towards anyone, be it teammates; coaches; officials; opponents or spectators, will not be tolerated. 8. Players shall not be critical of teammates and never discuss teammate s abilities except to encourage good team play. 9. Hot-dogging will not be tolerated. 10. Players are responsible for their own equipment and thus they must ensure that it is complete, safe, and in good condition at all times. 11. Lacrosse is a team sport. I am on a team and I will be a team player. 12. I will respect all my teammates, the officials and my competitors. 13. I will always listen to my coach s instructions. 14. Players shall conduct themselves in a dignified manner at all times, especially on the road. Each player represents the game of lacrosse, the lacrosse association and their team. 15. I have read the Expectation of Player Conduct and agree to comply with those expectations. I promise to abide by this Code of Conduct. (Please print your name) Player s Signature X Date
7 US Lacrosse Membership Form Each BI PSYL player is required to be a member of US Lacrosse in order to be covered under our insurance policy. If you are not a member, please go to this link and sign-up: If you are a member and were issued a number in February of 2013 for the Spring Season and cannot find your membership number, call the membership department at ext. 102 or send an to membership@uslacrosse.org Player Name: US Lacrosse Number:
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