BUTLER GOLDEN TORNADO HOCKEY ASSOCIATION TRYOUT INFORMATION
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1 BUTLER GOLDEN TORNADO HOCKEY ASSOCIATION TRYOUT INFORMATION Welcome to the Butler Golden Tornado Hockey Association (BGTHA). Thank you for considering playing for the Golden Tornado s for the forth coming season. This document will cover what you must do in order to complete the registration process for tryouts. Filling out the form online does not complete the registration process Tryout Schedule ***All Tryouts will be held at the Ice Connection of Pittsburgh*** May 9 th, 10 th, 11th 6th-8th Graders*: 5:30-6:20PM 9th-12th Graders: 6:30-7:30PM 1
2 Player rules and expectations: -Players trying out are to have a plain jersey with no logos or affiliation with any other organization. -Players trying out are to have solid colored socks that are not from another team that they play for. -Players trying out should remove or tape over any helmet decals from other organizations that they participate in. -Players trying out are expected to follow the USA hockey equipment rules and wear all proper protective equipment including their neck guard and mouth guard. (Any player who is not wearing proper equipment will be asked to leave the ice) -The players are asked to communicate primarily with Coach Sakolsky -If the player needs to inform someone about missing a tryout, they must contact Coach Sakolsky directly -No exceptions! Parent rules and expectations: -Parents are not to sit in the reserved area for the coaches and evaluation staff. -At no point should any parent be interacting with any person on the Coaching or Evaluation Staff while at the rink, regardless of the topic or location of the conversation. Evaluator Communications: -The integrity of the tryout process is absolutely vital! -At no point before, during, or even after these tryouts should any evaluator make any communication outside the Evaluation Staff in regards to the evaluations, discussions, opinions, or status of any player. -This includes discussions with players, parents, and other coaches. -It is perfectly acceptable to provide a player with constructive feedback after the tryouts are over, as long as it is specific to that player and not a comparison to other players or information regarding the various ratings that player may have received from particular evaluators. Coach Sakolsky s Contact Information: corysakolsky@gmail.com Phone: (412)
3 Please bring the completed forms, using the document attached, and 2 checks, see below, to tryouts with you: ü USA Hockey Number ( information will not be accepted) ü Copy of Birth Certificate if you DID NOT PLAY for BGTH LAST YEAR ü Butler Area School District Release of Information ü Bantam Waiver-only need to complete if birth year 2003 or later ü USA Hockey Code of Conduct ü Consent to Treat ü Please bring 2 checks or money orders on the 1st day of tryouts. Checks should be made payable to "BGTHA". CASH WILL NOT BE ACCEPTED. 3
4 Tryout Fee A separate check of $75.00 is required for a tryout fee and must be turned in along with the commitment check (see below) for the player to go on the ice. No part of the tryout fee will be refunded if one or more of the sessions are missed. No part of the tryout fee will be returned if a player does not accept the team he/she is assigned to. No part of the tryout fee will be returned if a player does not make a team. Commitment Fee A $300 Commitment Check will be collected at the first tryout session or when joining a team. It is to be paid in a separate check from the Tryout Fee. The Commitment Fee will be held until tryouts are completed and the player has been notified of their team placement. When a player receives notification, the player may take up to 24 hours to accept or reject the placement. If the player accepts the placement, the Commitment Check will be deposited and becomes nonrefundable. It will not be refundable thereafter even if you subsequently withdraw from the team at any later time. If the player declines the placement, the Commitment Check will be destroyed after notification of the refusal unless you submit a self-addressed stamped envelope..twenty-four hours after notification if the player has failed to respond, the check will be deposited and become nonrefundable. By accepting a position on a team, you are obligated to pay the entire Season Fee and the Commitment Fee will be deducted from the total team season fee for each player. ***Player cannot and will not be allowed to go on the ice without everything above*** Unable to attend Tryouts? If you are unable to attend tryouts, please complete the registration forms and return them with both the tryout fee and commitment fee to any board member, PRIOR TO THE SCHEUDLED TRYOUT DATES. *-The PIHL defines a Bantam Age Player by the following criteria: 1. USA Hockey Bantam Age 2. Second Year Pee-Wee (Maximum of 9 per team, not including goaltenders) 3. Bantam Age players in 9th grade may be rostered either Middle School or JV/Varsity, but not both. 4
5 Butler Area School District 110 Campus Lane Butler, PA Date: May 9, 2017 Subject: Release of information in accordance with the Butler School District s Board Policy on the collection, maintenance and disclosure of information from education records. To: Principal of (name of school your player will be attending ), and Athletic Director From:, (parent\guardian(s) Please release the following information about my son/daughter (name of player), who is in Grade ( ), to Butler Area Hockey Association, P. O. Box 1796, Butler, That my son/daughter, is enrolled as a full-time student at School as of September, That my son/daughter, DOES meet the eligibility criteria as established by the PIHL, Butler Golden Tornado Hockey Association, and Butler Area School District for participation in athletic activities. This information should be given to: Butler Area Golden Tornado Hockey Association, P. O. Box 1796, Butler, , upon its request for information. I/WE certify that I/We am/are the parent(s) or legal guardian(s) of said child and that this authorization shall remain in effect unless revoked or cancelled, which revocation must be in writing and delivered to the principal. I understand that my son/daughter must meet the following academic and attendance requirements 1. A student must be enrolled in a school and be in full time attendance. Attendance policies will be the same as those required by the Butler Area School District. 2. The player MUST be in school before 10:45 a.m. to be eligible to practice, compete or tryout on that given day. Exceptions can only be made by the building principal or his/her designee and prior notice must be given whenever possible. 3. If the player is suspended from school, in or out, the player is NOT eligible to practice or compete until the suspension is concluded. 4. The player MUST be passing at least four full-credit subjects of the equivalent as of each Friday during the grading period or the previous grading period. If you fail to fail to meet this requirement, you will lose your eligibility for the following Sunday through Saturday. You will remain ineligible until you meet this requirement. If it is from the preceding grading period, you will be ineligible for a period of 15 days. 5. If the player is absent from school during a semester for a total of 20 or more school days, the player will lose eligibility until you are in attendance for a total of 45 school days following your 20th day of absence. This carries over to the next semester, even after summer. Regardless of the reason, when you are not present in school, this absence counts towards the 20 days. To this end, I do hereby acknowledge that eligibility lists will be released by school administrators on a weekly basis to a Team Representative of the Butler Area Hockey Association. Date: May 9, 2017 (Signature of Parent/Guardian) 5
6 PIHL Risk Acknowledgement and Liability Waiver To be completed for each second-year Pee Wee player playing on a PIHL Middle School/Bantam team. Association Name: Season: Name of Participant (print): Birthdate: I hereby acknowledge that I permit my child to participate at an age level that is one year in age above the USA Hockey recommended guidelines. I understand and appreciate that the risk of injury may be greater at this level and that the risk of injury from hockey may be significant, including the potential for permanent paralysis or death. I understand that while particular rules, and personal discipline may reduce this risk, the potential for serious injury still exists. By my childʼs participation, I KNOWINGLY ASSUME ALL SUCH RISKS, BOTH KNOWN AND UNKNOWN. Further, I agree to indemnify and hold the association listed above; any PIHL officers and USA Hockey, Incorporated, harmless from any and all liability, loss, expense, attorneyʼs fees or claims for injury or damages caused as a result of my request. I understand that the agreement by my association to allow my child to participate on the Middle School/Bantam team is probationary and my association reserves the right to reverse its decision if it is felt that my child is not capable of participating at this level. This may not occur until after his/her performance is observed in actual game situations by the coaches and/or the association coaching director. I understand and agree to respect all of the conditions listed above for participation with this USA Hockey team. Participant Signature: Date: Parent/Guardian Name (print): Parent/Guardian Signature: Date: 6
7 USA HOCKEY PARTICIPANT CODE OF CONDUCT NAME: To be read and signed by you as a member of Team: Participating in USA Hockey for the season. 1. No swearing or abusive language on the bench, in the rink, or at any team function. 2. No lashing out at any official no matter what the call is. The coaching staff will handle all matters pertaining to officiating. 3. Anyone who receives a penalty will skate directly to the penalty box. 4. Fighting will not be tolerated. Fighting will result in an appearance before a Discipline Committee. 5. There will be no drinking, smoking, chewing of tobacco or use of illegal substance at any team function. 6. I will conduct myself in a befitting manner at all facilities (ice rink, hotel, restaurant, etc) during all team functions. 7. Any player or team official who cannot abide by these rules or violates them will be subject to further disciplinary action. Signed: Date: Form 1-P Rev 02/09
8 Usa Hockey Consent to treat/medical History form This is to certify that on this date, I, as parent or guardian of, (athlete participant), or for myself as an adult participant, give my consent to USA Hockey and its medical representative to obtain medical care from any licensed physician, hospital, or clinic for the above mentioned participant, for any injury that could arise from participation in USA Hockey sanctioned events. If said participant is covered by any insurance company, please complete the following: Insurance Company: Policy Number: parent/guardian/adult participant signature: date: Excess accident insurance up to $25,000, subject to deductibles, exclusions and certain limitations, is provided to all USA Hockey registered team participants. For further details visit usahockey.com or contact USA Hockey at (719) 576-USAH. emergency ContaCt Name: Phone: Address: Physician s Name: Phone: Hospital of Choice: Completion of medical History information Below is optional medical History If the answer to any of the following questions is yes, please describe the problem and its implications for proper first aid treatment on the back of this form. Head Injury (concussion, skull fracture) Fainting spells Convulsions/epilepsy Neck or back injury Asthma High blood pressure Kidney problems Hernia Heart murmur Have you had (or do you currently have) any of the following? Have you had a recent tetanus booster? Yes No If yes, when? Are you currently taking any medications? Yes Allergies Diabetes Other No If yes, please list all medications on back. Has a doctor placed any restrictions on your activity? Yes No If yes, please explain on back. 3C rev 2/09
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