Wissahickon Warriors. Youth Hockey Program. Registration Materials
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1 Wissahickon Warriors Youth Hockey Program Registration Materials
2 Dear Members, To register your child for the Season, please submit the attached Youth Hockey Registration forms and the Membership Builder to the WSC Main Office by Friday, March 16, 2018 with a $300 deposit for each participant. NO PLAYER MAY PARTICIPATE IN TEAM EVALUATIONS WITHOUT SUBMITTING THE BELOW FORMS WITH A $300 DEPOSIT (CHECK) FOR EACH PARTICIPANT WSC YHP Registration Forms with $300 Deposit for Each Participant WSC Membership Builder Membership Dues, Fees, and Billing The Membership Builder must be submitted with your deposit and registration. Membership Dues and Fees will be billed on August 1 st. One-third is due August 31 st, one-third is due by September 30 th and one-third by October 31 st. The $300 deposit(s) will be applied towards your family s total membership dues. Please contact me directly at with any questions you may have regarding our Youth Hockey Program. Sincerely, Wally Wally Muehlbronner WSC Director of Programs
3 Team Evaluation Dates Mite Program Preliminary Evaluations Birth Years: 2010 and Younger Monday, April 2, :00 6:00 PM Wednesday, April 4, :00 6:00 PM The April Preliminary Evaluations will assist the Coaching Staff in placing the players into groups for the August summer practices. All players are strongly encouraged to participate in clinics and camps to improve their skills during the off season. Final Mite Team placements will be made by the end of the August summer Mite Practices. Squirt Evaluations Birth Years: Tuesday, April 3, :00 7:00 PM Thursday, April 5, :00 7:00 PM Tuesday, April 10, :00 6:00 PM (Game 1) 6:00 7:00 (Game 2) Thursday, April 12, :00 6:00 PM (Game 1) 6:00 7:00 (Game 2) For the season we anticipate fielding 4 Squirt Teams. Game Rosters for April 10 th and 12 th will be posted on the WSC website by Friday, April 6 th. Preliminary Team rosters will be posted on the WSC website after evaluations. Team Rosters will be made final by the end of the August summer practices. All players are encouraged to participate in clinics and camps during the off season. Peewee Evaluations Birth Years: Monday, April 2, :15 7:15 PM Wednesday, April 4, :15 7:15 PM Monday, April 9, :00 6:00 PM (Game 1) 6:15 7:00 PM (Game 2) Wednesday, April 11, :00 6:00 PM (Game 1) 6:15 7:00 PM (Game 2) For the season we anticipate fielding 4 Peewee Teams. Game Rosters for April 9 th and 11 th will be posted on the WSC website by Friday, April 6 th. Preliminary Team rosters will be posted on the WSC website after evaluations. Team Rosters will be made final by the end of the August summer practices. All players are encouraged to participate in clinics and camps during the off season. Bantam Evaluations Birth Years: Monday, April 16, 2018 Wednesday, April 18, :00 7:15 PM 6:00 7:15 PM For the season we anticipate fielding 2-3 Bantam Teams. Preliminary Team rosters will be posted on the WSC website after evaluations. Rosters will be made final by the end of the August summer practices. All players are strongly encouraged to participate in clinics and camps to improve their skills during the off season. Midget U16 Evaluations Birth Years: For the season we anticipate fielding 1-2 U16 Teams. Tuesday, April 17, :00 7:15 PM Thursday, April 19, :15 8:30 PM Midget U18 Evaluations Birth Years: For the season we anticipate fielding 1 U18 Team. Tuesday, April 17, :00 7:15 PM Thursday, April 19, :15 8:30 PM
4 WSC YHP Registration Form Due March 16, 2018 with a $300 (check) Deposit per Participant Player s Name: Birth Date: / / Address: City: State: Zip: Home Phone: Father s Name: Cell#: Mother s Name: Cell#: Age Group (check): U18 ( Birth Years) U16 ( Birth Years) Bantam ( Birth Years) Peewee ( Birth Years) Squirt ( Birth Years) Mite Program (2010 Birth Years and Younger) Last Season s Team/Age Group: Position: Submit Registration and all Forms with Deposit(s) to: Wissahickon Skating Club Attention: YHP Registration 550 W. Willow Grove Avenue Philadelphia, PA 19118
5 WISSAHICKON SKATING CLUB/DELAWARE VALLEY HOCKEY LEAGUE (DVHL) PLAYER/PARENT AGREEMENT FORM This AGREEMENT is entered into in the Commonwealth of Pennsylvania between (Players Name), born on ( The Player ) and jointly and severally by the Player s parent and/or legal guardian,, residing at, ( The Parent ) and the Wissahickon Skating Club ( The Club ), a Youth Hockey Organization for the hockey season, which is defined as lasting from the date of signing of this agreement until the completion of the USA Hockey National Tournaments ( The Season ). It is understood that the Parties intend to be legally bound by this Agreement, and that this Agreement was signed in, and is enforceable, in the Commonwealth of Pennsylvania, and that all references to the Player includes males and females. 1. The Parent understands that if the Player resigns or otherwise voluntarily terminates his/her participation for any reason after signing this agreement, the Player is not entitled to a refund of the Player Fee and must pay the entire remaining balance of the Player Fee before a DVHL/Atlantic District Player Release Form will be issued. 2. The player agrees to play DVHL amateur ice hockey exclusively for the above mentioned Club and may not register for, be evaluated for or play for any other DVHL club. The player may also participate with any school, independent or Atlantic District run program. Dual rostering is not permitted on any Tier I (AAA), Tier II (AA, A, B, C) or any Junior Programs; however, Girls are permitted to be dual rostered on any Tier I (AAA), Tier II (AA, A, B, C) or Girls team. If both teams are National Tournament bound, the player must declare, in writing, by 12/31/2018 for which team she will participate should these teams qualify for Districts, leading to the National Tournament. 3. The Player agrees that he/she will attend all of the Club s ice practices, games, off-ice training, instructional sessions and organized team meetings, except when prevented from doing so for educational or medical reasons, in which case, the player will request permission in advance (when reasonably possible to do so) to be absent. The club acknowledges that such permission will be granted for all reasonable requests. The player agrees that he/she will maintain his/her academic and educational course work at the/she highest-level possible. 4. The Club will provide the Player USA Hockey and Atlantic District registration unless the player has been previously registered by another organization. 5. The Player agrees to obey the laws of the Commonwealth of Pennsylvania and that he/she will maintain good citizenship and behavior at all Club events, as well as in his/her everyday life, recognizing that his/her behavior is a reflection upon the Club. 6. The Player agrees not to use vulgar or profane language, racial, ethnic or gender related slurs toward teammates, coaches, officials, opponents or spectators. 7. The Player agrees that alcohol, tobacco products, and all legally banned substances, which includes marijuana, cocaine, non-prescribed medications, including performance enhancing substances and other related drugs, have no place in hockey and Player agrees not participate in such use. 8. The Player recognizes that there is no place for violent or overly aggressive play in hockey where the obvious intent is to injure or harm another player, and agrees not to participate in such conduct. 9. The Parent agrees to respect and show appreciation for the volunteers who give their time to hockey. Parent further agrees not to yell, taunt, threaten or inflict physical violence upon any player, coach, official or spectator at any Club function. 10. The Parent agrees to be responsible for the financial commitment made in this Agreement (which includes the payment of a Registration Fee and a Player Fee), even in the event that Player s Club or playing privileges are
6 suspended and/or terminated for any reason, including but not limited to disciplinary or academic issues, injury or illness, and understand this to mean that in no case will the Player Fee be prorated for any portion of the season. 11. The Parent agrees that the Registration fee is non-refundable. Once the Player is placed on a team that fee is credited to the Player Fee. If the Player declines his/her position on a team, after the date designated by the Club, the Player will not be entitled to receive a refund. Should the Club determine that the Player s ice hockey talent development is best suited for placement on an in-house team (if applicable) the Registration fee less will be either refunded, or applied to the in-house team Player Fee. 12. The parent shall be obligated to pay the Club tuition as established in Addendum The Club s Payment Schedule for participation as a member of the Club, with the understanding that if a payment is delinquent, then the Player s playing and participation privileges with the Club and his/her team will be suspended until the delinquent amount is paid or an appropriate payment arrangement is made with the Club. 13. The Parent understands that the DVHL and the Atlantic District requires member Clubs to report any player s outstanding financial obligation to the District. The Parent and Player understands and agrees to allow my players name if we owe this club an outstanding financial obligation to be added to the Atlantic District outstanding financial list and cannot be placed on the roster of any other Atlantic District team (middle school, high school, in-house or travel ice hockey team) until the outstanding financial obligation to the Club is satisfied. 14. The Parent understands that the Club may, at their sole discretion, based on past payment history, or other sound business practice, elect to require the full payment of Player Fees once a player is placed on a team. 15. The Player understand that he/she is responsible for fines or costs assessed for damage to facilities, locker rooms, etc., used in conjunction with Club s practices, games or other team events which are caused by the above named player. 16. The Parent understands that any discounts will be forfeited if any payments are not made on a timely basis. 17. The Parent understands that the Club is entitled to assess a reasonable charge for any returned check or credit card charge. 18. The Player and Parent agree to abide by all rules and regulations of USA Hockey, Inc., the Atlantic Amateur Hockey Association, the DVHL, and the Club. 19. The Club does not guarantee nor promise that it can improve the college or professional hockey potential of the player or guarantee equal playing time. However, the club will provide, to the best of its ability, the best environment, coaches and skill development, to assist the player in realizing his/her full hockey potential. 20. The Player and Parent will sign the USA Hockey Waiver of Liability, USA Hockey Consent to Treat forms, USA Hockey Code of Conduct form and the DVHL Code of Conduct forms. 21. The Player and Parent acknowledge that during the season to 48 hours after USA Hockey National Championships, the player may request a release from the club to participate with another club for the following season. The issuance of a release by the Club is totally within the discretion of the club. Further, under no circumstances will such a release be issued unless the Player and Parent have completed all financial commitments to, and are, in otherwise good standing with the Club at the time that the release is requested. 22. The Player and Parent agree that the club may utilize the Parent s / mailing addresses and Player photographs, pictures and likenesses for promotional purpose. 23. The Parent understands that the players name will be listed on the DVHL website in the roster section as well as his league schedule being posted for the team in which he is rostered. The Player and Parent acknowledge that failure to abide by the rules set forth in this agreement constitutes a breach of this Agreement and subjects the Player and his/her Parents to disciplinary action and possible expulsion from the Club. More detailed information regarding code of conduct, financial responsibility and related consequences can be found in the specific club addendums. We hereby agree to the terms of this Agreement, acknowledge that we have read, understand and agree to abide by the rules and regulations set forth herein, and agree to be legally bound by this Agreement. Player Signature: Date: Parent/Guardian Signature: Date: Wally Muehlbronner Dir. of Programs / WSC / April, 2018 Name/Title of Club Officer Organization Date
7 USA HOCKEY CONSENT TO TREAT This is to certify that on this date, I, as parent or guardian of (athlete 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: Name of Insurance Company: Address: Policy Number: Signed: (Parent/guardian or adult participant) Relationship to Athlete: Home Address: Phone: ( ) 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 or call USA Hockey at USAH.
8 CONSENT MEDICAL HISTORY FORM (COMPLETION OF THIS SIDE OF THE FORM IS OPTIONAL) Name Date: Address: Birthdate: Cell Phone: Home Phone: WHO TO CONTACT IN CASE OF AN EMERGENCY? Name: Cell Phone: Relationship: Home Phone: Physician's Name: Phone: Hospital of Choice: PLEASE COMPLETE THE FOLLOWING: If the answer to any of the following questions is or was yes, please describe the problem and its implications for proper first aid treatment on a separate piece of paper. Have you had (or do you presently have) any of the following? Circle One Head injury (concussion, skull fracture) Yes No Fainting spells Yes No Convulsions/epilepsy Yes No Neck or back injury Yes No Asthma Yes No High blood pressure Yes No Kidney problems Yes No Hernia Yes No Diabetes Yes No Heart murmur Yes No Allergies Please specify: Yes No Injuries to: Shoulder Yes No Knee Yes No Ankle Yes No Fingers Yes No Arm Yes No Other: Impaired vision Yes No Impaired hearing Yes No Other: Have you had a recent tetanus booster? If so, when? Are you currently taking any medications? What? Why? Has the doctor placed any restrictions on your activity? Explain:
9 USA HOCKEY PARTICIPANT CODE OF CONDUCT PLAYER NAME: To be read and signed by you as a member of The WSC Youth Hockey Program. 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:
10 DELAWARE VALLEY HOCKEY LEAGUE CODE OF CONDUCT To: Parents, Spectators, and Players Member Associations Delaware Valley Hockey League From: The Executive Committee Board of Directors Delaware Valley Hockey League Re: League and Non-League Games Introduction -- Spectator Conduct The Delaware Valley Hockey League (DVHL) was created to promote competition and good sportsmanship at the Youth Level for any and all children wanting to play the game of ice hockey. Discipline is meted out in accordance with all USA Hockey rules, and, in some cases, stronger rules in the DVHL. Unfortunately, few rules relating to USA Hockey focus on parental/spectator/player conduct. Over the past few years, there have been ugly incidents involving parents, spectators and players at hockey games in our area. Fortunately, most parents, players and spectators conduct themselves in an orderly, sportsmanlike manner during games, and are a true credit to the sport of your hockey. For all of you, take this letter as a form of support, and understand the DVHL is ready to address the issue, so you can enjoy yourself watching your child's game. For those parents, players and spectators falling into the very small minority of troublemakers, take this letter very personally, and be prepared to a long year, or to put it more succinctly, a very short year! Your actions will cost your Club financially, result in the suspension and/or expulsion from your organization, and possibly cost your child valuable ice time. The attached policy statement regarding this issue has been approved by the DVHL Board of Directors. It is proof the DVHL will not tolerate any lack conduct, sportsmanship or good will that the game of ice hockey is supposed to promote. It will force each member organization to police its Club, and ensure the problems are addressed and corrected, either through suspension or expulsion from the organization. While the policy statement appears strong, we must all realize we are taking the game away from the kids, and we, the parents, are the only ones that can give it back! Agreed upon by all member Clubs of the DVHL. A.M. Montagna, President October 13, 1993 April 14, 1994 April 12, 1995 Colleen Marinari, President April 8, 1996 April 9, 1997 December 9, 1998 April 14, 1999 April 12, 2000 April 12, 2001 April 11, 2002 April 13, 2005
11 RULES FOR PARENT/PLAYER/SPECTATOR CONDUCT DELAWARE VALLEY HOCKEY LEAGUE LEAGUE AND NON-LEAGUE COMPETITION All parents, players and spectators will conduct themselves in an orderly, sportsmanlike and professional manner when attending a DVHL League or Non-League game. Any report of disorderly conduct in the rink, parking lot, etc. including, but not limited to the following will not be tolerated: Parents going on the ice. Parents going into the referees' locker room or opposing team's locker room. Physical abuse of referees, coaches, players or rink employees. Verbal abuse of the above participants, to the point of obscene, racial, ethnic or sexual slurs. Fighting among parents or spectators in the stands. Any problem with crowd control that results in the summoning of police. Any issues that are not covered above that result in loss of control by a parent, player or spectator. All reports given to the DVHL by referees, rink management or either of the participating organizations will be reviewed by the DVHL as follows: Upon notification, each member organization must investigate the alleged incident and send a written report to the President and Commissioner of the DVHL, outlining the incident, and action to be taken by each organization. Under no circumstances will either organization minimize the gravity of the incident. They will provide the facts as requested by the DVHL. After review of the written reports, the Executive and Disciplinary Committees can recommend the following: Fines for one or both member organizations, as indicated below: First Offense: $ and/or non-monetary discipline as determined by the Ex. Committee Second Offense: $ and/or non-monetary discipline as determined by the Ex. Committee Third Offense: $ and/or non-monetary discipline as determined by the Ex. Committee plus probation and possible suspension of League privileges, including playing of games and participation at District Tournaments. Suspension of parents, players or spectators involved in two altercations. Parents, players or spectators cannot attend any future games, League or Non-League. The parents, players of spectators Club will ensure the suspension is enforced. The suspended party must then petition the DVHL, through their Club, in person, for reinstatement. If a parent does not abide by the rulings, the Club will suspend the parent's child from further play until the parent does abide. Any suspended party reinstated after petition, involved in a third altercation will be suspended for the balance of the hockey season. The DVHL will recommend the party's expulsion from the Club, and will require a hearing before this party or their child is registered with any club in the DVHL. Referees are authorized by the DVHL to utilize Zero Tolerance standards when addressing spectators and issuing reports on same. The Clubs in the DVHL are expected to monitor their teams, including their parents and players. These rules, while harsh, are expected to weed out the problems in each organization, since these parents, players and spectators cannot control themselves, and will certainly test the system. THESE RULES, ALONG WITH THE COVER MEMO MUST BE COVERED WITH EACH PARENT IN THE CLUB. THEY CANNOT BE SURPRISED IF AND WHEN AN ISSUE ARISES.
12 DELAWARE VALLEY HOCKEY LEAGUE CODE OF CONDUCT ACCEPTANCE FORM FOR SEASON NAME OF CLUB: WSC YOUTH HOCKEY PROGRAM NAME OF PLAYER: CIRCLE AGE GROUP: MITE SQUIRT PEEWEE BANTAM MIDGET 16 MIDGET 18 Parental/Guardian DVHL Code of Conduct Pledge We will show respect and support for coaches and officials, prior, during and after the game. We will ensure that our child behaves in a sportsmanlike manner. We will demonstrate respect and support for all players and families, including opponents before, during and after the game. We will be mindful of the need for player development over the need to win. We will ensure that our child not use performance-enhancing drugs. We will refrain from coaching or instructing any players during a game or practice unless I am their official coach. We will abide by the rulings of the officials and coaches and league administrators during and after the game. We will demand and demonstrate a healthy sports environment by refraining from alcohol and tobacco use during all sporting events. I have read and understand the DVHL Code of Conduct and pledge to follow the code and the policy regarding acceptable behavior. I will accept and support the league sanctions imposed to foster a sportsmanlike atmosphere on behalf of myself, my family, my player and any spectators that are associated with my family Signed: (Parent/Guardian) Date:
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