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Football and Cheer Registration
Liability Waiver Form
I,_________________________ give permission for my child,______________________ to participate in Lakeview Little Bulldogs Cheerleading/Football program. I will not hold the LLB organization and sponsors, their employees and associated personnel, including the owner of the fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant's participating in the programs and/or being transported to or from the same, which transportation I hereby authorize.
Name of parent/guardian:
________________________ Players name:_________________________
Date: ____/____/20____
UNIFORM RETURN CONTRACT
By signing this form, I,______________________
the parent of_____________________ , is fully aware that the uniforms issued to my daughter/son
are the property of Lakeview Little Bulldogs and are to be returned with all pieces upon the end of the season on a date
to be set and determined. I am agreeing to pay for the costs of replacing the issued uniform should it not be returned or is returned damaged beyond use. I also understand that if the uniform is not returned at the end of the season, my child will not be permitted to participate in any following seasons until the uniform is either returned or monies have been received to replace it.. The cost of a replacement uniform is: Helmet-$200.00/Shoulder Pads- $50.00/ Rib Protector-$40.00/ Game Jersey-$60.00/ Game Pants-$30.00/ Practice Jersey-$20.00/ Practice Pants-$20.00/ Practice Belt- $5.00/ Game Belt-$5.00/Chin Strap- $10.00/Helmet Decals- $10.00/7 Piece Pad Set- $20.00 (2 knees, 2 hip, 2 thighs and 1 tail bone) /Girdle- $10.00
REPLACEMENT ITEMS WILL NOT BE ACCEPTED
Name of parent/guardian:
______________________________________
REGISTRATION FORM
Childs Name:__________________________
Age:_______ Approx. Wt___________
Address:______________________________
Home Phone:___________________________
Alt Phone:____________________________
School District:______________________
Birth Date____________________________
Grade:________________________________
Email:________________________________
*Emergency and Medical Information: Family Doctor:______________________
Phone #:____________________________
Hospital:___________________________
ALLERGIES:___________________________
All Attempts will be made to contact the parents and/or legal guardian in the event of an emergency or injury. If we are unable to contact either parent or guardian, your child will be transported to the hospital of your choice or the closest medical facility according to emergency laws, so that medical treatment can be administered.
____(YES) I give permission for my child_____________________________to receive emergency medical treatment in the event that I can not be contacted
Zero Tolerance Policy Against Abuse
The Lakeview Little Bulldogs Organization is committed to providing a safe environment for its members and participants, and to preventing abusive conduct in any form. Every member of this organization is responsible for protecting our participants and ensuring their safety and well being while involved in sponsored activities.
To this end, we have established the following guidelines of behavior and procedures for our staff, volunteers and participants. All members of this organization, as well as parents, spectators and other invitees are expected to observe and adhere to these guidelines.
1.Abuse of any kind is not permitted within our organization. This means we do not tolerate physical, sexual, emotional or verbal abuse or misconduct from our players, coaches, officials, volunteers, parents or spectators.
2.Physical and sexual abuse, including, but not limited to, striking, hitting, kicking, biting, indecent or wanton gesturing, lewd remarks, indecent exposure, unwanted physical contact, any form of sexual contact or inappropriate touching, are strictly prohibited within our organization.
3.Emotional abuse or verbal abuse is also prohibited. These include, but are not limited to such forms of abuse as: insulting, threatening, mocking, demeaning behavior, or making abusive statements in regard to a person with in this Organization or Opponent of this organization or a person race, gender, religion, nationality/ethnicity, sex or age.
4.We are committed to providing a safe environment for our players, participants and staff. We do so by appointing all coaches, officials and volunteers — and anyone else affiliated with our organization — as protection advocates. Every member of this organization is responsible for reporting any cases of questionable conduct or alleged mistreatment toward our members by any coach, official, volunteer, player, parent, sibling or spectator.
5.To further protect our youth participants, as well as our coaches, officials and volunteers, we strongly advise that no adult person allow him/herself to be alone with a child or with any group of children during sponsored activities. In particular, we recommend that coaches or other adult members of this organization:
•Do not drive alone with a child participant in the car
•Do not take a child alone to the locker room, bathrooms or any other private room
•Provide one-on-one training or individual coaching with the assistance of another adult
LAKEVIEW LITTLE BULLDOGS ORGANIZATION
P.O. Box 402 Cortland Ohio 44410 Email: lakeviewlittlebulldogs@yahoo.com
L.L.B. Player Expectations
As people:
-Be young men/women of character
the attributes or features that make up and distinguish an individual.
-Sportsmanship
You represent yourselves, your families, L.L.B., and your respective schools. Please take that seriously.
-Composure.
It's okay to play with passion. It's not okay to lose your head.
-Respect and Courtesy.
I will address each of you with respect, and courtesy. Please do so with each other, officials, adults, coaches, and our opponents.
-Preparation.
I am committed to being prepared for every practice and game. I expect the same from you.
-As Players:
-Fundamentals.
Every school and team has different schemes and goals. Fundamentals will never change or go out of style.
-Be coachable.
We will learn each other as people, and as players, and must be able to communicate and critique each other for success. Don't take constructive criticism personally.
-Attitude.
Attitude is the key to success in everything you will ever do. When we are together, leave everything else at the door, and come ready to play. If you expect to succeed, you will. If you expect to fail, you will.
-Commitment.
I promise to give each and every one of you the best I have every time we are together. Please give each other, and our program the same. You won't be at your best every day, but every day, give the best that you have.
-Be Yourselves.
We are here to have fun, and better ourselves, as players, coaches and people playing the game we love. Enjoy this opportunity and experience.
Practice Format:
-Stretching and warm-ups
-Drills
Each practice will consist of several structured fundamental drills
-Offensive and Defensive team practice -Scrimmages / Team play
-Housekeeping Announcements, program communications, news and concerns
Permission to use Players Pictures and Statistics
I give my permission for Lakeview Little Bulldogs Organization to use my child's picture and statistical information on Lakeview Little Bulldogs Organization’s website www.lakeviewlittlebulldogs.com
Name of Player:______________________________
Parent/Guardian Name:________________________
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LAKEVIEW LITTLE BULLDOGS |
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