Juventus FC Medical Consent and Registration Form

Transcription

1 Juventus FC Medical Consent and Registration Form (For Office Use -- Cashier) Amount Paid: Method of payment: Date: Name: Database code: Player contact details Child s surname: First names: Date of birth: ID Number: Dad s name and cell no: Mom s name and cell no: Home telephone no: Physical Address: Postal code: address: I can assist the club with the following: Sponsorship - Coaching - Fundraising - Marketing - Administration - Referee - Medical details Child s relevant medical information including ailments, injuries, medication or allergies: Medical Aid: Medical Aid member number: Consent to Medical Treatment If in the unlikely event of an accident I will accept the decision of the appointed coaching staff in relation to any urgent or immediate treatment required. Disclaimer All club representatives will take as many precautions as possible to ensure that the welfare of the child is always the first priority and whilst every effort has been made to make Juventus FC a safe and welcoming environment we have to make you aware the football is a contact sport and injuries can happen. Juventus FC would like to point out that they are not liable in any way for any injuries to anyone, this includes spectators. Juventus FC does not insure any player against personal injury sustained through playing, training or travelling to or from such activities. It is the responsibility of players or their parents/guardians to arrange any additional insurance against personal injury. Playing history Club played for last season: Division age group this year: Certified copy of birth certificate: SAFA forms in duplicate: 3 identical ID photos: Declaration I agree to my child s photograph being used on the club website and other club related media. I have read and understood the contents of this form and I warrant that all information provided by me is true and correct. I will adhere to the Juventus FC code of conduct. Name: Date: Signature: Club subscriptions may be paid directly into the club bank account: Standard Bank, Current Account, Durban North Account No: Account Code: (Use your child s name and surname and age group as the reference please i.e.: Joe Bloggs U9)

2 Juventus Football Club Durban North INDEMNITY AND CONSENT CONFIRMATION I, (insert full name) in my capacity as of (name of player). 1. Do hereby indemnify and hold harmless Juventus Football Club Durban North and each of its officers and employees against any claim, damage, injury, and/or loss which I and/or my child may sustain by virtue of any conduct, transport arrangements and/or sports injury which may arise whilst my aforementioned child participates in sport for and on behalf of the abovementioned Club. 2. I further agree to pay as liquidated damages to the Club the amount of money imposed on the Club as a fine (or such pro-rata share as the Club Committee may determine), by any competent body which shall have the authority to impose such fine as a result of the misconduct of either myself and/or my child or any other member of my family, of whose misconduct I acknowledge the Club Committee to be the sole and absolute judge. 3. I also understand that notwithstanding the fact that I have registered my child with Juventus FCDN, the Club cannot guarantee that my child will play a match each week. 4. I consent to personal information of me and my child being used for registration purposes. I also consent to the use of photographs of my child in his/her capacity as a Juventus FCDN member and related to football, being used by Juventus FCDN on electronic and other platforms. 5. I have read the Juventus FCDN Code of Conduct and agree to abide by it and to take all reasonable steps to ensure that my child abides by the requirements of the Code of Conduct. Signed at on this day of 2019 SIGNATURE OF FATHER/MOTHER/LEGAL GUARDIAN (who is duly authorised) STATE NAME IN FULL:

3 Our junior coaching philosophy The coaching staff and officials of Juventus FC understand that children participate in football to have fun. If children don t have fun playing football, they ll soon pack it in. We never forget that the game of football is just that - a game. It s not about how many wins and losses are accumulated. And, it is surely not about how many trophies are collected. It s not about how many goals we score or concede. It s all about enjoying the game and, at the same time, learning and developing football and life skills. Proper football development requires that children play age appropriate activities so they are able to experience, comprehend, and execute the game as it relates to where they are at their own stage of physical and mental development. It is about playing in different positions so the player learns all the skills necessary to develop in the game. It s about receiving equal playing time, so the players are all given equal opportunity to learn. It s about learning the techniques of the game through a variety of fun games where players have as much contact with a ball as possible and learn at their own rates.

4 Juventus Football Club Durban North Code of Conduct Football is an International game. All those involved with the game at every level, and whether as a player, match official, coach, owner or administrator, have a responsibility, above and beyond compliance with the law, to act according to the highest standards of integrity, and to ensure that the reputation of the game is, and remains, high. This code applies to all those involved in football under the auspices of the Durban Central Football Association. 1. Community Football, at all levels, is a vital part of the community. Football will take into account community feeling when making decisions. 2. Equality Football is opposed to discrimination of any form and will promote measures to prevent it, in whatever form, from being expressed. 3. Participants Football recognises the sense of ownership felt by those who participate at all levels of the game. This includes those who play, those who coach or help in any way, and those who officiate, as well as administrators and supporters. Football is committed to appropriate consultation. 4. Young People Football acknowledges the extent of its influence over young people and pledges to set a positive example. 5. Propriety Football acknowledges that public confidence demands the highest standards of financial and administrative behaviour within the game, and will not tolerate corruption or improper practices. 6. Trust and Respect Football will uphold a relationship of trust and respect between all involved in the game, whether they are individuals, clubs or other organisations. 1

5 7. Violence Football rejects the use of violence of any nature by anyone involved in the game. 8. Fairness Football is committed to fairness in its dealings with all involved in the game. 9. Integrity and Fair Play Football is committed to the principle of playing to win consistent with Fair Play. a. Code of conduct for Coaches Coaches are the key to the ethics of football. Their concept and their attitude directly affect the behaviour of players under their supervision. Coaches are, therefore, expected to pay particular care to the moral aspect of their conduct. Coaches have to be aware that almost all of their everyday decisions and choices of actions, as well as strategic targets, have ethical implications. It is natural that winning constitutes a basic concern for coaches. This code is not intended to conflict with that. However, the code calls for coaches to disassociate themselves from a win-at-all-costs" attitude. Increased responsibility is requested from coaches involved in coaching young people. The health, safety, welfare and moral education of young people are a first priority, before the achievement or the reputation of the club, parent or coach. Set out below is Juventus Football Club Durban North Code of Conduct, which forms the benchmark for all involved in coaching: 1. Coaches must always promote the positive aspects of the sport (e.g. fair play) and never condone violations of the Laws of the Game, behaviour contrary to the spirit of the Laws of the Game or relevant rules and regulations or the use of prohibited substances or techniques. 2. Coaches must respect the rights, dignity and worth of each and every person and treat each equally within the context of the sport. 3. Coaches must place the well-being and safety of each player above all other considerations, including the development of performance. 4. Coaches must develop a good working relationship with each player based on mutual trust and respect. 5. Coaches must encourage and guide players to accept responsibility for their own behaviour and performance. 6. Coaches must ensure that the activities they direct or advocate are appropriate for the age, maturity, experience and ability of players. 7. Coaches should, at the outset, clarify with the players (and, where appropriate, parent) exactly what is expected of them and also what they are entitled to expect from their coach. 8. Coaches must co-operate fully with other specialists (e.g. other coaches, officials, sports scientists, doctors, physiotherapists) in the best interests of the player. 9. Coaches must consistently display high standards of behaviour. 2

6 10. Coaches must not use or tolerate inappropriate language. Payment of Fines/Suspensions It is the responsibility of all coaches to reimburse the Club, in full, for any fines incurred during games and/ or any club DC Sanction. It is further the responsibility of each coach to comply with any appropriate sanction imposed by the club s DC. b. Code of Conduct for Players Players are the most important people in the sport. Playing for the team, and for the team to win, is the most fundamental part of the game. But not winning at any cost Fair Play and respect for all others in the game is most important. Juventus Football Club Durban North expect players to have: Obligations towards the game 1. Set a positive example for others, particularly young players and supporters. 2. Make every effort to develop their own sporting abilities, in terms of skill, techniques, tactics and stamina. 3. Give maximum effort and to perform to the best of their ability throughout the game. 4. Not use inappropriate language. Obligations towards one s own team 1. Make every effort consistent with Fair Play and the Laws of the Game to help his own team win. 2. Resist any influence, which might, or might be seen to, bring into question his commitment to the team winning. 3. Show respect and give encouragement to all team members, irrespective of individual ability. Respect for the Laws of the Game 1. Abide by the Laws, rules and spirit of the game. 2. Accept success and failure, victory and defeat, equally. 3. Resist any temptation to take banned substances or use banned techniques. Respect towards Opponents 1. Treat opponents with due respect at all times, irrespective of the result of the game. 2. Safeguard the physical fitness of opponents, avoid violence and rough play, and help injured opponents. Respect towards the Match Officials 1. Accept the decision of the Match Official without protest. 2. Avoid words or actions, which may mislead a Match Official. 3

7 3. Show due respect towards Match Officials. Respect towards Team Officials 1. Abide by the instructions of their Coach and Team Officials. 2. Show due respect towards the Team Officials of the opposition. Obligations towards the Supporters 1. Show due respect to the interests of supporters. Payment of Fines/Suspensions It is the responsibility of all players to reimburse the Club, in full, for any fines incurred during games, i.e. as a result of receiving a yellow or red card or any other DC Sanction. It is further the responsibility of each player to comply with any appropriate sanction imposed by the club s DC. c. Code of Conduct for Managers and Team Officials This Code applies to all Juventus Football Club Durban North team and club officials; Obligations towards the Game 1. Set a positive example for others, particularly young players and supporters. 2. Promote and develop his own team having regard to the interest of the Players, Supporters and reputation of the national game. 3. Share knowledge and experience when invited to do so, taking into account the interest of the body that has requested this rather than personal interests. 4. Show due respect to Match Officials and others involved in the game. 5. Always have regard for the best interests of the game, including where publicly expressing an opinion of the game and any particular aspect of it, including others involved in the game. 6. Not use or tolerate inappropriate language. Obligations towards the Team 1. Make every effort to develop the sporting, technical and tactical levels of the club/team, and to obtain the best results for the team, using all permitted means. 2. Give priority to the interests of the team over individual interests. 3. Resist all illegal or unsporting influences, including banned substances and techniques 4. Promote ethical principles. 5. Show due respect for the interests of the players, coaches and officials, their own club/team and others. Obligations towards the Supporters 4

8 1. Show due respect for the interests of supporters. 2. Respect towards the Match Officials 3. Accept the decisions of the Match Official without protest. 4. Avoid words or actions, which may mislead a Match Official. 5. Show due respect towards Match Officials. d. Club Code of Conduct for Parents / Spectators Parents and Spectators have a great influence on a child s enjoyment and success in football. All children play football because they first and foremost love the game it s fun. It is important to remember that however good a child becomes at football within our club, you as parents and spectators have a very important role to play and that your positive encouragement will contribute to: 1. Children enjoying football. 2. A sense of personal achievement. 3. Self-esteem. 4. Improving the child s skills and techniques. Parent s and spectator s expectations and attitudes have a significant bearing on a child s attitude towards: 1. Other players. 2. Officials. 3. Managers. 4. Spectators. Juventus Football Club Durban North expect that parents / spectators within our club are always positive, giving encouragement towards ALL of the children, not just their own. We encourage parents / spectators to: 1. Applaud the opposition as well as your own team. 2. Avoid coaching the child during the game. 3. Not to shout and scream. 4. Respect the referee s decision 5. Give attention to each of the children involved in football not just the most talented 6. Give encouragement to everyone to participate in football. JUVENTUS FOOTBALL CLUB DURBAN NORTH expect ALL parents and spectators to acknowledge and adhere to this Code of Conduct and our Child Protection Policy. Policy on Cyber bullying Juventus Football Club Durban North will not tolerate Direct or Proxy Cyber bullying in any form. We expect ALL Club members to respect others and to take a stand against all forms of bullying. 5

9 Definitions: Cyber bullying - when a child, preteen or teen is tormented, threatened, harassed, humiliated, embarrassed or otherwise targeted by another child, preteen or teen using the Internet, social networking sites, interactive and digital technologies or mobile phones. Direct Cyber bullying - when a message is sent to children directly. Proxy Cyber bullying - when the instigator uses others to help cyberbully the victim, either with or without the accomplice's knowledge. If a registered player or Club member is found to be Cyber bullying another Football Club, player or Club member then full disciplinary procedures will be invoked which may result in that person being expelled from the Club. These same disciplinary procedures apply equally to safeguard all adult Club members, managers, coaches, parents or guardians from any Club member who engages in, or condones bullying of any kind. 6