Avery County Youth Soccer
Parents,
This year we are excited to announce that Avery County Youth Soccer signups will
be held at the Williams YMCA. Avery County Youth Soccer is a wonderful part of
our community and we are so excited to be a part of it this year. Registration will
open on Monday, August 4th. All registration forms will need to be returned to
the Williams YMCA front desk no later than Friday, August 22, 2014. All former
soccer rules, regulations, and requirements will remain as they were in years past!
Avery County Youth Soccer will continue to operate in association with the North
Carolina Youth Soccer Association. All parents will be contacted during the week
of August 25th to be given information on coaches and practice times. Any
questions or concerns can be sent Allison Phillips, Director of Youth Programs, at
the Williams YMCA. Contact information for the YMCA is as follows:
Phone: 828-737-5500
Email: [email protected]
2015 YMCA Spring Soccer Registration Form:
Registration Fee is $35 for YMCA Members and $40 for Potential Members. This includes: Jersey,
Socks, Insurance, Referees, and Field maintenance.
Childs Name: __________________________________________Date of
Birth:_________________________________________________
Age:_______________________________________________________
Female
Male /
School:_______________________________________________________________________________
______________________________________
Parent/Guardian
Contact:______________________________________________________________________________
________________
Address:______________________________________________________________________________
_____________________________________
Home Number:________________________________________________Cell
Number:____________________________________________
Email
Address:______________________________________________________________________________
_______________________________
Shirt Size( youth small, youth medium, youth large, adult small, adult medium, adult large):
_____________________________________________________________________________________
___________________________________________
Number of Years Played: ____________________Who was your last
coach:___________________________________________
Please list any soccer camps you
attended:_________________________________________________________________________
Age Divisions: U4[ ]
U6 [ ]
U8 [ ]
U10 [ ]
U12 [ ] -please check which one will apply
Parents:
Would you be willing to coach?
YES / NO
*We will have a coaches clinic prior to our first game!
Assistant Coach:
YES / NO
Name and number of person willing to
coach:______________________________________________________________________
Please Read and Sign:
WAIVER OF LIABILITY: I fully assume and understand the risks of my child participating in Avery County Youth Soccer including obstructions,
sudden illness, death or injury, and all other risks. I attest that my child is physically fit to participate. I authorize program staff to provide
medical attention at my expense should my child appear in need. For injuries my child sustains, including death, I agree to save and hold
harmless the YMCA of Avery County, Crossnore School Inc, Avery County Youth Soccer, Avery County, volunteers, coaches, program staff,
suppliers, contractors and anyone else connected with the organization of this program, from any claim or lawsuit that may be brought at any
time be me, my family, estate, heirs or assigns, arising from my child’s participation in this program or the instruction received.
WAIVER FOR PUBLICITY: I agree that images taken of my child during this program may be used in any legal manner without payment to me. I
have read and understand the terms of this document. I make this agreement and pay the program fee in exchange for the privilege of my child
participating under the conditions of the program.
Parent/Guardian Signature: ___________________________________________________Date:___________________________________
Office Use Only
Receipting Clerk: _________________________________________________Date:_______________
Total Amount Paid: _______________________________________________Staff Initials: ________
CODE OF CONDUCT
PLAYERS: In competition, someone always loses. If you win, do it gracefully, not boastfully. If you lose,
do not be negative. Players are to treat other players, coaches, referees, and spectators in a respectful
manner before, during, and after a match. Players are expected to exhibit good sportsmanship at all
times. Players are to give their team and their coach their best at practices and games. Any player found
climbing, swinging, or defacing any goal, fence, sign, equipment, or property will be subject to
suspension. Players are to wear the appropriate equipment to ensure safe and healthy play. Enjoy
participating in the sport and HONOR the game!
Coaches: Coaches set the example by which players and parent must follow. Coaches are expected to
exhibit good sportsmanship at all times. Disagreements with parents, another coach, referees, or board
members do not belong on the public soccer field. Coaches are expected to treat all players in a fair and
equal manner regardless of talent or ability. Coaches will teach players the rules and fundamentals of
the sport in a positive and encouraging manner. Coaches are to enjoy participating in the sport and
HONOR the game.
PARENTS AND SPECTATORS: Parents and Spectators are to exhibit good sportsmanship at all times and
provide encouragement to players, coaches, and referees of both teams. Disagreements with players,
coaches, or referees do not belong on the public soccer field. Parent’s should offer support and help to
the coaches. Parents should not be on the team’s
side of the field or behind the goals. Allow your child to be a child. Too much competition, too soon, can
slow down the progress in skill development. Enjoy the game and opportunity to be with your child and
HONOR the game.
REFEREES AND BOARD MEMBERS ARE EMPOWERED TO REQUEST PLAYERS, COACHES, PARENTS, AND
SPECTATORS TO LEAVE THE FIELD IF THIS CODE OF CONDUCT IS NOT FOLLOWED.