BSA Elite Coaching Staff - Bettendorf Soccer Association

BSA Elite Tryout Dates
Boys
U16 Players
Tuesday June 5th
5:00 – 6:30 PM
U17 and U18 Players
Wednesday June 6th
5:00 – 6:30 PM
U15 Players
Monday June 11th
5:00 – 6:30
Girls
U15/U16 Players
Tuesday June 12th
5:00 – 6:30 PM
U17/U18 Players
Wednesday June 13th
5:00 – 6:30
Why BSA Elite?
BSA Elite Coaching Staff
BSA Elite is a year round Premier Soccer Program
that has been designed for the serious high school
soccer player. As a BSA Elite member, you will
compete in the Iowa Premier Soccer League with
the goal of winning State Cup. You will be further
challenged as you travel throughout the Midwest
Region to participate in tournaments for Select
level teams. The tournaments include College
Showcase Tournaments and State Cup.
Ryan King
Director of Coaching
NSCAA National C License
This is the only year-round program offered in
the area that meets the needs of a serious soccer
player. The program has been designed where
each team will be assigned a dedicated
Professional Coach who will be responsible for
the team’s success and each member’s personal
development. The coach will employ various
outdoors and indoors training methods to
expand each player’s skill set. Additionally, you’ll
be part of an association that has a rich winning
tradition and is recognized as one of “The Best” in
Iowa.
Wayne Ward
BSA Director of Coaching
NSCAA National D License
Jessica Cannova
BSA Director of Coaching
Former Women’s College Coach
-Iowa Lakes Community College
Ed Knupp
Bettendorf HS Girls Asst Coach
Professional Goalkeeper Coach
NSCAA National and Advanced
National License
Tom Portz
NSCAA National D License
BSA Elite FAQs
Commitment Requirement
All Players will be expected meet
the following requirements for
consideration:
- State Cup
- 75% Attendance Training and
Competitions
*All decisions will be made at the
coach’s discretion.
Acceptance Process
There are no guarantees any player
will be placed on a team.
- Players will be contacted by
phone and have 48 hours to
accept a position.
- Accepted players will be placed
on an age-appropriate team.
- Notifications will be made per
state requirements.
All decisions regarding player
acceptance will be made
exclusively by the BSA Elite Staff
and the Director(s) of Coaching.
WAIVER AND RELEASE OF ALL CLAIMS
AND ASSUMPTION OF RISK
Please read this form carefully and be aware that in signing up and
participating in this program(s), you will be expressly assuming the risk
and legal liability and waiving and releasing all claims for injuries,
damages or loss which you or your minor child/ward might sustain as a
result of participating in any and all activities connected with and
associated with this program(s) (including transportation services and
vehicle operations, when provided).
Registration
Due: Monday May 14th
Cost: $10
Late Reg. / Walk Ups: $20
I recognize and acknowledge that there are certain risks of physical
injury to participants in this program(s), and I voluntarily agree to
assume the full risk of any and all injuries, damages or loss, regardless
of severity, that my minor child/ward or I may sustain as a result of said
participation. I further agree to waive and relinquish all claims I or my
minor child/ward may have (or accrue to me or my child/ward) as a
result of participating in this program(s) against the Bettendorf Soccer
Association, including its officials, agents, volunteers and employees.
Player Name:
________________________________________
I do hereby fully release and forever discharge Bettendorf Soccer
Association from any and all claims for injuries, damages, or loss that
my minor child/ward or I may have or which may accrue to me or my
minor child/ward and arising out of, connected with, or in any way
associated with this program/activity.
Current Club Affiliation:
________________________________________
Location
BSA Fields are located at 16750
210th Street in Davenport, IA
Current High School:
________________________________________
I have read and fully understand the above waiver and release of all
claims and assumption of risk.
Years of Experience:
________________________________________
NOTE: We suggest that you look at your own insurance policy to be
sure you are adequately covered. Bettendorf Soccer Association
assumes no responsibility for personal injuries or loss of personal
property. You also give consent for your child to be photographed or
videotaped while attending summer camp for those pictures to be used
by BSA for promotional purposes.
Preferred Position:
________________________________________
Should we be aware of any medical or other issues?
Yes_______
No_______
Please explain. _________________________
Registration Dates
- Registration is due by May 14th
and will cost $10. Late
Registration and Walk Ups will
cost $20.
- Send Checks/Cash to:
BSA, PO Box 671
Bettendorf, IA 52722
Registration Information
_____________________________________________
_____________________________________________
Player Address:
________________________________________
Player Phone Number:
________________________________________
Player Email Address:
________________________________________
_____________________________________________
Waiver Acceptance Signature:
Emergency Contact: (Name and
Number)
________________________________________
________________________________________
Mail Payments to: BSA, PO Box 671
Bettendorf, IA 52722