New Century Fieldhouse - JCPRD 551 New Century Pkwy New Century, KS 66031 www.newcenturyfieldhouse.com Phone: 913-826-2850 Fax: 913-826-2863 2017-2018 Winter Indoor Youth Soccer League Basic Info FIFA rules apply with some exceptions. U9 - U12 have 6 field players + 1 goalie. U13-U18 have 5 field players + 1 goalie. U9 - U12 use a size 4 ball. U13 and older use a size 5 ball. Games consist of two 24-minute running clock halves. Teams will have a three-minute warm-up time and a three-minute half time. All players must have uniforms of the same color. The visiting team shall be responsible for providing an alternate uniform color, in case of a conflict. Game start times range from 6:15-10:15 pm on Friday, 7 am - 10 pm on Saturday, and 7 am - 7 pm on Sunday. No gate fee charged. Schedule requests accepted. Two full service concession stands available. No outside food or drink allowed. Large mezzanine level available to watch the games. Lounge furniture/tv s on the mezzanine level. Entire facility is Wi-Fi equipped. Full league packet can be found at www.newcenturyfieldhouse.com. Two officials per game. Registration opens Aug. 16 for teams registering for both sessions and Aug. 17 for teams registering for just one session. Forms may be submitted via fax or email beginning at 12:00 am if paying by credit card. No registrations accepted prior to August 16. Winter I/Winter II Indoor Soccer League Age Groups - U9 - U18 Friday/Saturday/Sunday Games Recreation and Premier Divisions Offered Register Early as Leagues Fill Quickly!!! Registration opens August 16 for teams that register for both sessions. Registration opens August 17 for teams that register for just one session. Winter I League Fee - $525/team - (6 games) $50 fee increase after deadline Winter I Registration Deadline: October 4 (will likely fill before) Winter I Play Begins: October 20 Weekend Winter I Play Ends: December 15 Weekend No games played November 24. Winter II League Fee - $525/team - (6 games) $50 fee increase after deadline Winter II Registration Deadline: November 17 (will likely fill before) Winter II Play Begins: January 5 Weekend Winter II Play Ends: March 9 Weekend No games played Feb. 4 after 5 pm or all day Feb. 16-18. Game schedules for the March 2 & 9 weekends will be released in late February after Heartland schedules are released, in order to work around your outdoor schedule. Multi-Team Discount Register multiple teams in the league and receive a 10% discount. One team must pay full price. Inclement Weather Line: 913-826-2865 For information contact Jamie Kempfe at 913-826-2853. Office Hours: 8:30 am - 5 pm Registration form can be submitted beginning at 12:00 am Aug. 16 if registering for both sessions or 12:00 am Aug. 17 if registering for one session.: Mail: New Century Fieldhouse 551 New Century Pkwy. New Century, KS 66031 Fax: (913) 826-2863 Email: jamie.kempfe@jocogov.org In person, at the location above, between 8:30 am - 5 pm, M - F. All returned checks are subject to a $20 service charge charge!
NEW CENTURY FIELDHOUSE - U9 - U18 Registration Form - Winter 2017-2018 Circle correct age group for Winter I League Age Group/Gender Winter I Code Age Group/Gender Winter I Code U9 Girls 40621 U13 Girls 40629 U9 Boys 40622 U13 Boys 40630 U10 Girls 40623 U14 Girls 40631 U10 Boys 40624 U14 Boys 40632 U11 Girls 40625 U15-16 Girls 40633 U11 Boys 40626 U15-16 Boys 40634 U12 Girls 40627 U17-18 Girls 40635 U12 Boys 40628 U17-18 Boys 40636 Circle correct age group for Winter II League Age Group/Gender Winter II Code Age Group/Gender Winter II Code U9 Girls 40637 U13 Girls 40645 U9 Boys 40638 U13 Boys 40646 U10 Girls 40639 U14 Girls 40647 U10 Boys 40640 U14 Boys 40648 U11 Girls 40641 15-16 Girls 40649 U11 Boys 40642 U15-16 Boys 40650 U12 Girls 40643 U17-18 Girls 40651 U12 Boys 40644 U17-18 Boys 40653 Please fill out the Team Information Form found in the packet. New Century Fieldhouse Winter I/Winter II U9 - U18 Indoor Soccer Registration Please Complete All Sections Team Name: Manager s Name: Manager Email: Coach s Email: (only if coach wants to be included in league emails) Phone (Cell): Phone (Day): Phone (Eve): Address: City: State: Zip: 1. Please Circle your age group and division above. This is the age of your oldest player. 2. Please Mark the correct box below next to the correct league. 3. Full payment is due at the time of registration. $20 Service Charge on all returned checks. 4. Payment methods accepted: Check, Cash or Credit Card-Visa, Mastercard, or Discover. 5. Refunds will be made only when leagues are filled or when canceled by the league coordinator. Refunds may take 2-3 weeks. The League Supervisor has the right to combine leagues and do whatever is necessary to maximize league participation. Please make sure you have the correct box marked below on the form. Just a reminder, you can sign up for both sessions beginning Aug. 16 and one session beginning Aug. 17. Winter I Deadline: October 4 Winter II Deadline: Nov. 17 Payment Information - Please mark the correct box below (Make Checks Payable to JCPRD) Please mark the correct box: $525 (Winter I); $525 (Winter II) $1,050 Both Sessions WAIVER STATEMENT: " The undersigned states that he/she understands that the Johnson County Park and Recreation District is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from the program in which the undersigned is enrolling or being enrolled or from his/her participating in said program, and the participant and the undersigned, if the participant is a minor or under other legal disability, hereby forever releases and holds harmless the said Johnson County Park and Recreation District, it s employees, agents and representatives from any and all claims of any kind that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participation in said program. Also, the undersigned and the participant authorize the Johnson County Park and Recreation District to use at its discretion any photograph(s) or video taken of the participant while participating in the program and waive any and all claims that the participant or undersigned or their heirs, executors, administrators, or assigns may have or claim to have resulting from such photograph(s) or reproductions. 10% Multi-team discount for one session makes it $472.50. 10 % Multi-team discount for both sessions makes it $945. Please charge all fees to MC VS or DS Card Number: Expires: - $50 fee increase after deadline Return completed form with fee to: New Century Fieldhouse Fax: (913) 826-2863 551 New Century Pkwy., New Century, KS 66031 REFUND POLICY : Refunds will be made only when leagues are filled or cancelled by the Johnson County Park and Recreation District. Refunds may take 2-3 weeks. JCPRD is committed to making reasonable accommodations as required by the Americans With Disabilities Act. Requests must be made two weeks or ten working days prior to the start of the program. Please indicate what accommodations are needed:. I HAVE READ & UNDERSTAND THE WAIVER STATEMENT & CANCELLATION POLICIES; REGISTRATION INVALID WITHOUT SIGNATURE. X Signature of person registering participant/s
New Century Fieldhouse Indoor Soccer Team Information/Conflict Form U9 U18 Team Name Age Group/Gender Manager Name Coach Name Circle Desired Level of Play: Recreational Premier What league did you play through in outdoor? What division did your team play in the outdoor league? What was your outdoor record? These answers will help us know where to place your team. We will do everything in our power to split up the recreational teams from the premier teams, but it may not be 100% possible. Your team is allowed 1 conflict for each winter indoor season. A conflict can be one date or an entire weekend. This date will be excluded from your schedule. All other dates will be available and games cannot be rescheduled from the available dates. If you have a time request or time conflict, please list that as your conflict, and we ll do the best we can when scheduling. CONFLICT DATE WINTER I: CONFLICT DATE WINTER II: Please submit your spring league scheduling conflicts for Mar. 2 4 & 7 9 to me by February 22. An email to jamie.kempfe@jocogov.org is preferred. Form must be turned in to New Century Fieldhouse by Oct 4 for Session I and November 17 for Session II. Please note no games will be played the evening of November 23, 24, and February 4, and all day February 16 18. Thank you very much in advance for your understanding and cooperation. Submit form to Jamie via email jamie.kempfe@jocogov.org, fax (913) 826-2863; in person at the New Century Fieldhouse, or mail 551 New Century Pkwy., New Century, KS 66031.
JCPRD NEW CENTURY FIELDHOUSE 2017-2018 WINTER YOUTH INDOOR SOCCER REGISTRATION OUTLINE Registration Dates o Registration opens August 16 for teams who register for both sessions. Registration opens August 17 for teams who register for one session. Please note sessions have filled within one hour of registration opening in the past. o Registration Deadline is October 4 for Winter I and November 17 for Winter II. o Registrations received after deadline will have a $50 fee increase. Items to be Turned in by Registration Deadline o Registration Form; email, fax, mail, walk-in o 100% of league fee o Team Info/Conflict Form Item to bring to first game o Roster of all players with addresses, date of birth, phone #, and parent s signature. o Rosters must be turned in before you play your 1st game or you will not be allowed to play. GENERAL INFORMATION League Coordinator Information: Jamie Kempfe phone #: 913-826-2853, email: jamie.kempfe@jocogov.org. Gate Fee: No gate fee will be charged during league games. Length of Season: Winter I league will begin the weekend of October 20 and should conclude the weekend of December 15. Winter II league will begin January 5 and should conclude the weekend of March 9. Time of Games: Game times will range from 6:15 10:15 pm on Friday, 7 am - 10 pm on Saturday and 7 am 7 pm on Sunday. Game times may rotate from week to week depending on the number of teams and the availability of fields. Individual Registrations: If you would like to sign up as an individual to be placed on a team, or if you are in need of some players to fill your roster, please call Jamie at 913-826- 2853 to be placed on the list or to receive some names.
Uniforms: All players must have uniforms of the same color. The visiting team, as designated by the schedule, shall be responsible for providing an alternate uniform color, in case of a conflict. Equipment: Game balls will be provided by the home team. U9 U12 use a size 4 ball. U13 U18 use a size 5 ball. Standings: Standings of the leagues will be posted at www.newcenturyfieldhouse.com. These standings will be updated weekly. If the standings are incorrect, please email Jamie at jamie.kempfe@jocogov.org. League Awards: Awards will be given to individuals of the teams finishing 1 st or 2 nd place in their league. Awards that are typically given out are t-shirts, trophies, and medals. The league has the right to switch up the awards from season to season. Game Location: All league games will be played at New Century Fieldhouse 551 New Century Parkway New Century, KS 66031. Practice Facilities: If your team is in need of a practice facility, we will attempt to accommodate your team at New Century Fieldhouse. Please call 913-826-2850 for pricing, availability and reservations. Turf time goes quickly in the winter time, so I suggest calling early. Game Schedules: Each manager will receive an email with their game schedule about one week prior to the league starting. The full schedule will also be posted online at www.newcenturyfieldhouse.com before the league starts. Please note the game schedules for the weekends of March 2 4 and 9 11 won t be released until late February. This will allow teams to submit their outdoor scheduling conflicts so I m able to work around your outdoor schedule and hopefully avoid forfeits for the indoor season. Conflict Form: Each team will be allowed to fill out a conflict form. This form gives teams an opportunity to put down one date or weekend over the course of the season where you know you will not be able to have a full team, and this date will be excluded from your schedule. If your team has no conflicts, please put down no conflicts on the form. This form is intended to prevent forfeits due to a conflict. This form must be turned into the office at New Century Fieldhouse by October 4 for Winter I and November 17 for Winter II. Please note re-scheduling games is almost impossible as the turf is utilized all day and night during the late fall/winter months. So, it s crucial you submit your conflict dates in a timely manner.
JOHNSON COUNTY PARK AND RECREATION DISTRICT New Century Fieldhouse Girls/Boys Indoor Soccer League Rules GENERAL: 1. FIFA Laws of the Game shall apply except as amended herein. See age specific rules for details. 2. Lack of knowledge of these Rules will not relieve any coach, team official, parent or player of a team from the responsibilities and possible penalties herein. ALL CLUBS, TEAM OFFICIALS, PARENTS AND PLAYERS, BY PARTICIPATING IN New Century Fieldhouse PLAY, AGREE THAT THEY ARE BOUND BY THESE RULES. AGE SPECIFIC RULES: 1. All players must be born on or after January 1 st of the specified year. a. U9 2009 b. U10 2008 c. U11 2007 d. U12 2006 e. U13 2005 f. U14 2004 g. U15 2003 h. U16 2002 i. U17 2001 j. U18 2000 THE BALL: 1. U9 U12 will use a size 4 soccer ball. 2. U13 and up will use a size 5 soccer ball. 3. U12/U13 leagues combined will play with a size 5 soccer ball. LEAGUE ROSTER: 1. League roster must be turned in before the first league game. 2. Player(s) may be added to the roster prior to the start of the second league game. 3. Player(s) may only be deleted from the league roster prior to the first league game. 4. A guest player may play on your team at any time in order to help prevent forfeits. FIELD PLAYERS: 1. U9 U12 have 6 field players + 1 goalie 2. U13 - U18 have 5 field players + 1 goalie MINIMUM PLAYERS TO START GAME: 1. U9 U12 4 players 2. U13-U18 3 players 3. A FORFEIT WILL BE AWARDED IF A TEAM HAS FAILED TO FIELD THE MINIMUM NUMBER OF PLAYERS WITHIN SIX (6) MINUTES OF THE GAME START TIME. If minimum # of players is not met at game start time, the game clock will start and a goal will be awarded for the opposing team for every two minutes that passes where the team does not have enough players. When three goals are scored this way, the game will officially be considered a forfeit, and the game clock will stop. If a team can field minimum # of players within the grace period, then the teams may complete their game with the remaining game time. a. Additional Reasons for Forfeits i. Not enough players to start or continue a game. ii. If 3 red cards are given to one team in one game. iii. Misconduct of players, coaches and/or spectators. iv. Using non-rostered players. v. Benches clearing during a fight. b. Forfeits are scored as a 3-0 win/loss 4. Referees will not referee forfeited games. Players with signed waivers may use the field time for practice or scrimmage. PLAYER EQUIPMENT: 1. Players must have jerseys of a like color and style. 2. Color conflict visiting team is required to change team colors. 3. Shin guards are REQUIRED and must be totally covered by socks.
4. Indoor turf, flat soled soccer shoes or molded soccer cleats are allowed (NO SCREW-IN CLEATS, NO TOE CLEATS). 5. Goalkeepers must wear colors that distinguish them from all other players and referees. 6. No jewelry of any kind allowed. NO EXCEPTIONS. 7. Cast, knee braces, anything except shin guards made of rigid material must be covered with at least ½ inch of foam and must be approved by the center referee. All edges must be completely covered so they do not show. 8. Protective head gear and goalie helmets are optional. DURATION OF THE GAME: 1. U9 & Above Teams will play two, 24 minute halves, separated by 2 minute halftime. a. The clock shall be stopped for serious injuries. b. If time expires after a foul was called in the box, the team will still be allowed to kick the PK. c. League games and tournament pool games can end in a tie. d. During league or tournament PLAYOFFS only, a tie will be decided by: i. 3 minute golden goal (first team to score wins) ii. If game is still tied after extra time then the following applies: 1. PK s a. U9 and above players on field, shots taken from designated PK spots 2 yds from the top of the box. iii. If game is still tied: 1. PK s sudden death with players on field. 2. Duration of games may be shortened based on unusual circumstances and at the discretion of the NCF league or building supervisor. START OF PLAY: 1. A kick off will start the game and restart the game after a goal has been scored. 2. Teams will change direction at half time and alternate kick off. 3. A goal may be scored directly from a kickoff. 4. The ball does not need to go forward on the kick off. GOALKEEPERS: 1. Outdoor FIFA rules apply when passing back to the goalkeeper. 2. Goalkeeper may slide tackle only if the ball is inside the penalty box. 3. Goalkeeper may throw, punt, or roll the ball the entire length of the field without penalty. 4. If Goalkeeper hits the ceiling with the ball and the ball bounces back to Goalkeeper, he/she may not use hands directly from the ceiling. Ball has left the goal box and has returned into goal box from Goalkeeper s own touch violation. The Goalkeeper may play ball without using hands. If goalkeeper uses hands when balls returns from a punt, kick or throw from goalkeeper, an indirect kick will be given to the opposing team from the spot of the foul. A penalty kick WILL NOT be given for this infraction. SUBSTITUTIONS: 1. Teams may substitute on their own possession, and on opponent s substitution. 2. Substituting players must enter/exit field in a location defined by the referee. 3. Any player may change places with the goalkeeper, provided the referee is informed before the change is make, and provided also that the change is made during a stoppage of the game. 4. Substitute players are to remain in the player bench area. 5. A player receiving a yellow card must be immediately substituted. The player may re-enter play during the next substitution opportunity for that team. CEILING/OUT OF BOUNDS: 1. If the ball touches the netting, it is considered a dead ball and will be placed according to the following guidelines. 2. If the ball touches the netting directly above the playing field, the ball shall be placed on the turf, within a 3 feet radius of where the ball initially touched the netting. The team that did not touch the ball last shall restart play. 3. If the ball touches the netting above the goal box area, and was last touched by the offensive team, the result will be a goal kick. If the ball was last touched by the defensive team, the result will be a corner kick. A whistle must signal the restart. 4. A throw-in, corner kick, or goal kick will be awarded when the ball goes out of bounds. A throw-in may not go directly into the goal. 5. Player has 5 seconds to put ball back into play.
OFF SIDES: 1. Off sides will not be called in the 4 v 4 leagues. 2. Off sides will be called on full field leagues ages U9 U18. FOULS: 1. FIFA outdoor soccer rules apply to all infractions, including but not limited to: kicking, pushing, tripping, hand balls, etc Thus, we will play direct and indirect kicks depending on the foul. 2. No slide tackling Slide tackling will be defined as anything other than the feet touching the ground when attempting to take the ball away from an opponent. Players may slide to save balls from out of bounds the rule is no tackling. 3. Goalkeepers may slide inside the penalty box. FREE KICKS: 1. The following applies to all restarts: a. Indirect and direct kicks will be given according to FIFA rules of the game. b. Ball is in play when it makes contact with the initial player. c. Opposing players shall be 5 yards from the ball. d. Player taking a kick cannot play it again until someone else touches the ball. e. If an opponent refuses to move back 5 yards on referee s request, he may be given a yellow card for unsportsmanlike conduct. f. If a player taking the kick delays for longer than five (5) seconds after having been signaled to do so by the referee, the opposing team will be awarded the kick. HEADING RESTRICTIONS: 1. Per US soccer recommendations there will be no deliberate heading at U11 and below. When a player deliberately heads the ball in a game, an indirect free kick (IFK) should be awarded to the opposing team from the spot of the offense. If the deliberate header occurs within the goal area, the IFK should be taken on the goal area line parallel to the goal line at the point nearest to where the infringement occurred. If a player does not deliberately head the ball, then play should continue. YELLOW CARD POLICY: 1. A player receiving a yellow card must be immediately substituted off the field and may reenter at the next substitution opportunity for that team. 2. A player receiving two yellow cards in a single game will result in a red card. (see below) RED CARD POLICY: 1. Players receiving a red card in a game will not be allowed to play the remainder of the game and the player s team will play a man down for the remainder of the game. 2. Players receiving a soft red card (two yellow cards in single match) will be allowed to play next game with referee s note of approval. Referee can note that player punishment should be enforced as a hard red. 3. Players receiving a hard red card will miss the remainder of the game and will be automatically suspended from the next game in the season. 4. If the person is ejected in the last game of the season, said person shall be prohibited from playing/coaching in the first game after he/she registers for another season. 5. The following are red card eligible offenses: a. Foul and abusive language. b. Persistent infraction of the rules after receiving a yellow card. c. Violent conduct (including, but not limited to: spitting, threatening, continued rough play, etc.) will be suspended as outlined above and in addition, will be suspended one additional game and subject to further disciplinary action as decided by the complex management. d. Assaulting a referee, participant or spectator will be suspended indefinitely from all activities at the New Century Fieldhouse. e. An assault shall be defined as an attempt to commit a battery upon a person; and an act which is close to accomplishment shall be sufficient to constitute an assault upon a person. Local authorities will be notified. f. Any player or coach who accumulates three cautions (yellow cards) during league matches per session will be suspended for one league game. Should a coach of a team be unable to control a player s or spectator s actions after a red card is issued, the coach will also be suspended as outlined above. g. A player or coach accumulating three red cards over a one year period will face serious disciplinary action, possibly banning them from New Century Fieldhouse for life.
h. Any team that clears the bench will automatically forfeit the game and score will be recorded as a 3-0 loss. i. Team Probation Any incidents occurring for a two-month probationary period will be grounds for suspension from New Century Fieldhouse for 1 year. j. No refunds will be given to suspended players or teams. k. If for any reason an official/referee or employee of the New Century Fieldhouse asks that a person leave the facility, the person must leave the property or authorities will be notified. l. Fighting: Zero Tolerance Policy Anyone fighting will be ejected from said game and suspended for a minimum of two games and up to permanently. Anyone threatening or stalking another player, coach, staff, referee or spectator will also be ejected and reported to the local authorities. REFEREE AUTHORITY 1. Referee authority applies to enforcing the laws of the game; anything outside of that he/she must consult with New Century Fieldhouse management. All calls are the judgment of the referee, and are final. Any and all calls made by the referee are not subject to protest. If a referee has given 3 red cards within the game, he or she is to halt the game and contact the New Century Fieldhouse management. At which point, NCF management has the discretion to terminate the game. The referee has the ability to present a red card, prior to, during and after a game. It is the sole authority of the NCF management to determine player/team suspensions. LEAGUE STANDINGS POINT SYSTEM: 1. New Century Fieldhouse indoor soccer leagues will abide by the following rules with regards to standings a. Standings will be determined by points b. Win = 3 points c. Tie = 1 point d. Loss = 0 points e. Red card by player, coach, manager or spectator = -1 point 2. League games that end in a tie score after regulation play shall remain a tie game. DIVISION STANDINGS TEAM TIES: 1. Any divisions ending in a tie at the end of league season shall be governed by the following tie breaking system in order: a. Head to Head results between tied teams b. Most Wins c. Fewest goals allowed d. Goal differential max of 3 goals per game e. Coin flip LEAGUE FEES: All teams must pay the full balance at the time of registration to secure a spot in the league. If a team removes itself from a league, all fees paid shall be forfeited. If JCPRD drops a team from a league, all fees paid shall be forfeited. No refunds or game credits shall be given for the following: 1. Forfeited games 2. Inclement weather 3. Stoppage of game due to player and/or spectator misconduct or injury.
JOHNSON COUNTY PARK AND RECREATION DISTRICT ROSTER YEAR TEAM NAME CITY/STATE AGE GROUP Please circle sport: BASKETBALL FOOTBALL SOCCER VOLLEYBALL Note: By signing this roster, I acknowledge and accept the statement below. The undersigned states that he/she understands that the Johnson County Park and Recreation Disctrict is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from the program in which the undersigned is enrolling or being enrolled or from his/her participating in said program, and the participant and the undersigned, if the participant is a minor or under other leagl disability, hereby forever releases and holds harmless the said Johnson County Park & Recreation District, it's employees, agents and representatives from any and all claims of any kind that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participation in said program. Also, the undersigned and the particpant authorize the Johnson County Park and Recreation District to use at its discretion any photograph(s) or video taken of the participant while participating in the program and waive any and all claims that the participant or undersigned or their heirs, executors, administrators, or assigns may have or claim to have resulting from such photograph(s) or reproductions. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. PARENTS/GUARDIANS SIGNATURE SHOULD BE ON THE SAME NUMBERED LINE AS PLAYER'S NAME APPEARS ON THIS ROSTER. By signing this roster, parent or legal guardian agrees to the above statements and verifies that the date of birth is correct. Parent/legal guardian of each youth player must sign below. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE. PRINT or TYPE PLAYER'S NAME RESIDENCE (STREET, CITY, STATE, ZIP) PHONE DATE OF BIRTH GRADE PARENT/GUARDIAN SIGNATURE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEAM MANAGER'S AFFIDAVIT-- I, the manager of the above team, do hereby state that all of the information supplied above is correct to the best of my knowledge and that all of the parents or guardians signed the above in their own handwriting. I further MANAGER'S MAILING ADDRESS agree that each player is eligible to compete with my team in the New Century Fieldhouse Program in accordance with the New Century Fieldhouse rules governing that sport. MANAGER'S PRINTED NAME MANAGER'S SIGNATURE DATE PHONE # EMAIL