S KYLINE J UNIORS V OLLEYBALL 2014-2015 Player Information Athlete s Phone Number: Email Address: Weight: Date of Birth: Current School Attending: Previous Club Experience: Parent(s) or Guardian (Primary Contact) Daytime Phone: Home Phone: Mobile Phone: Please Check All Positions That Apply: q Setter q Outside Hitter q Middle Hitter q Defensive Specialist (Libero) We will determine during the tryout process which teams we will carry and how many when we see the availability of athletes in each age group. For our convenience, please check/circle below any/all team(s) you would like to be considered for. Please Check Any/All Teams you would like to be considered for: q 18 National Teams q 17 National Teams q 17 Molten Teams q 16 National Teams q 16 Molten Teams q 15 National Teams q 15 Molten Teams q 15 Elite q 14 National Teams q 14 Molten Teams q 14 Elite q 13 National Teams q 13 Molten Teams q 13 Elite q 12 National Teams q 12 Molten Teams q 12 Elite q 11 National Team (11 Royal) q 11 Elite To be filled out by Skyline Juniors Staff Only Tryout # Height Reach 11 and Under: Players who were born on or after September 1, 2003 12 and Under: Players who were born on or after September 1, 2002 13 and Under: Players who were born on or after September 1, 2001 14 and Under: Players who were born on or after September 1, 2000 15 and Under: Players who were born on or after September 1, 1999 16 and Under: Players who were born on or after September 1, 1998 17 and Under: Players who were born on or after September 1, 1997 18 and Under: Players who were born on or after September 1, 1995 and in high school
Tryout Information Sheet Everything you need to know to be ready for tryouts 1. Prior to Tryouts (after Oct. 1). Go to the North Texas Regions website and register for your 2013 USA Volleyball membership. Junior athletes MUST be registered and recorded as paid prior to attending any tryout. http://ntrvolleyball.net/registration3/ a. Follow the instructions and fill out an online registration. b. During the registration, choose Undecided when asked to choose a club. c. After you have accepted an offer from a club, then you can go back and select a club. d. Once the region office has received fees, they will update the record to reflect payment. Parents will receive an automated email stating their child is a member. Parents should print that email and take to tryouts or they may log in and print a membership card. 2. Register for Skyline Tryouts Online http://skyline.eventscheduler.us 3. Fill out the USAV Medical History and Release Form (also attached page 2) 4. Come early to check-in and get your number Walk-up Registration at Tryouts: We will be taking walk-up registration. We encourage everyone to sign up in advance, but will not turn away anyone at the door. If you are still in High School playoffs... It is a courtesy to high school coaches the North Texas Region has asked club programs to not require tryout attendance. Skyline will allow an athlete to tryout, however, provided they have a written note from their high school coach. If the athlete doesn t have a note, we nevertheless encourage him or her to attend tryouts, fill out the paper work, and assist the coaches in running tryouts. Email any tryout conflicts to jodie@skylinejuniors.com If you are still in your Junior High season... The above policy is a courtesy to the High School coaches to limit the chances of a high school athlete getting hurt and it affecting their schools chances in the State playoffs. You are allowed to tryout during your Middle School Season. If our tryouts directly conflict with one of your 7 th or 8 th grade team matches, please let us know in advance so we can try to come watch one of your previous matches. SELECTION PROCESS! Attendance at all tryouts is recommended, but not mandatory. After the first tryout, if you do not attend the next tryout(s), we will assume that you are not interested unless you have notified us and keep us informed that you are still interested in Skyline.! Offers may be made to participants at any time after tryouts conclude or in the days following.! Final offers may be given up to a few days after the last tryout date.! Once all positions have been filled, we will post each team's roster on the website. We anticipate this will be a few days after the last tryout date. If you are getting pressured by others to make a decision but your first choice is to play with Skyline, then we urge you to contact us via email at jodie@skylinejuniors.com or by phone at 972-675-1448. We will try our best to tell you where your daughter stands so you can make an informed decision.! A position will not be held until we have received the first installment and you have signed the Region Offer and Acceptance Agreement. Please understand that we need to fill our teams as quickly as possible after the second tryout. Therefore, if you are still going through tryouts with another club please be honest with us in what your plans are, so that we can plan accordingly.
THIS FORM IS TO BE CARRIED TO ALL SANCTIONED COMPETITIONS & PRACTICES. 2014-2015 USAV YOUTH & JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM This must be completed - legibly - and signed in all areas by both the player and his/her parent or guardian. I understand and agree that this document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. By signing this form the participant affirms having read and agreed to the terms and conditions listed below. Club: Team First Name Last Name Birth Date Age Primary Contact: Parent or Guardian Primary Phone: Address: City, State & Zip Alternate Phone: Male Female Secondary Contact: Parent/Guardian Primary Phone: Other Alternate Phone: Primary Insurance Co Primary Group/Policy # / Family Physician Name Physician Phone Please elaborate on any medical conditions of which we should be aware: Please list any medications currently being taken: In the past 24 months, have you been tested, diagnosed and/or treated for a concussion: Yes No If yes, provide the date (months and year), who performed the testing/diagnosing/treatment and what was the outcome: Please list any allergies: If None, please write None. Participant Signature (regardless of age): Participant,, has my permission to participate in training, competition, events, activities and travel sponsored by USA Volleyball or any of its Regional Volleyball Associations (RVAs). I approve of the leaders who will be in charge of this program. I recognize that the leaders are serving to the best of their ability. I certify that the participant has full medical insurance with the company listed above. I understand and agree that this document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. I agree to allow the authorized adult team personnel to release this information in the event of a medical emergency to a third party medical provider. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities described above. Parent/Guardian Signature: Relationship to Participant: If, during the course of my daughter's/son's activities in volleyball, she/he should become ill or sustain an injury, I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred through my insurance company. Signature: Parent/Guardian or I do not authorize emergency medical/dental care for my daughter/son. Signature: Parent/Guardian STATE OF ) COUNTY OF ) SWORN TO BEFORE ME, a Notary Public, by said personally known to me this day of,20 My Commission Expires Notary Public Revised 06/24/2014
PARTICIPANT AGREEMENT RELATING TO RELEASE, WAIVER, DISCHARGE, ASSUMPTION OF RISK AND OTHER MATTERS In consideration of DALLAS SKYLINE JUNIORS VOLLEYBALL ASSOCIATION, SKYLINE SPORTS, LLC, Skyline Juniors, and the respective owners, members, staff, employees, contractors, officers, of each (hereinafter collectively referred to as Organizers ), allowing me/my child, hereinafter referred to as Participant, to engage in various athletic activities and endeavors on facilities and with equipment either owned or controlled by the Organizers, including but not limited to athletic games, events, practice sessions, conditioning sessions, and other activities incidental thereto (the Athletic Activities ), the undersigned hereby agree to the following: 1. Participant recognizes and understands that certain risks of harm are inherent in Athletic Activities, and that there are dangers involved that cannot be fully foreseen and over which the Organizers have no control, and which could result in property damage, bodily injury or death. 2. The undersigned and the Participant understand that there are dangers and inherent risks in playing or practicing to play in any Athletic Activity including VOLLEYBALL, including, but not limited to death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury related to the eye and/or head, serious injury to virtually all internal organs, serious injury to all bones, joints, ligaments, muscles, tendons, and other parts of the muscular/skeletal system, and serious injury or impairment to other aspects of my/my child s body and general health and wellbeing. With a full understanding of the potential risks, THE UNDERSIGNED AND THE PARTICIPANT HEREBY ASSUME THE RISK, COSTS AND RESPONSIBILITIES FOR ANY AND ALL CLAIMS FOR DAMAGES, INCLUDING PERSONAL INJURY OR DEATH, MEDICAL EXPENSES, DISABILITY, LOST WAGES, LOSS OF EARNING CAPACITY AND PROPERTY DAMAGES WHICH MAY BE INCURRED OR EXPERIENCED BY PARTICIPANT WHILE PARTICIPANT ENGAGES IN OR PARTICIPATES IN THE ATHLETIC ACTIVITIES. 3. The undersigned, individually and on behalf of the Participant, our executors, administrators, heirs, next of kin, successors and assigns: a) WAIVE, RELEASE, AND DISCHARGE the Organizers from any and all claims or liabilities for death or personal injury or damages of any kind, which arise out of or relate to the Participant s participation in Athletic Activities, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE AND/OR WANTON MISCONDUCT OF THE ORGANIZERS; b) AGREE NOT TO SUE the Organizers for any of the claims or liabilities waived, released or discharged herein; and c) INDEMNIFY AND HOLD HARMLESS the Organizers from any claims made or liabilities assessed against them as a result of my actions and/or Participant s actions. 4. The Organizers strongly suggest that the Participant seek medical advice prior to engaging in any part of the Athletic Activities. 5. Organizers hereby expressly disclaim any warranty or representation of the fitness of any facility, equipment, field, or other venue or personal property that may be utilized by Participant as part of, or in any way related to, the Athletic Activities. The use of any facility or equipment of Organizer by Participant is at the sole and complete risk of Participant, and Participant has had the opportunity to inspect and review such facility and equipment at Participant s sole risk. 6. The undersigned, individually and on behalf of the Participant, grant to the Organizers, its representatives and employees the right to take photographs and videotapes of Participant and Participant s property in connection with the Athletic Activities. The undersigned further authorizes the Organizers, its assigns and transferees to copyright, use and publish the same in print and/or electronically. The undersigned, individually and on behalf of the Participant, further agrees that the Organizers may use such photographs and videotapes of the Participant with or without the Participant s name and for any lawful purpose, including for use in promotional activities initiated by the Organizers. 7. The undersigned and the Participant understand that if he/she is caught with or drinking any alcohol or in possession of illegal drugs, either on the facility of Organizers or otherwise, then the Organizers will contact the Participant s parent or guardian and Participant will be required to leave the facility and will not be allowed to return to the facility or use the facility in any manner. Initial 8. The undersigned and the Participant have read the above agreement and foregoing and have willingly signed the same for the consideration expressed and with a full understanding of its purpose. Participant represents that 2146181.2 Page 1 of 2
he/she is 18 years of age or older and otherwise competent to execute this instrument or that his/her legal guardian has signed this agreement on behalf of the Participant named herein. Participant s Participant s Signature Parent or Guardian: Print Phone No.: Accepted and Agreed to by: Parent s or Guardian s Signature: 2146181.2 Page 2 of 2