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2019-2020 NYOS Jaguar Soccer Registration

Please complete the form below. Required fields marked *

2019-2020 NYOS Jaguar Soccer Registration

Student

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D.O.B

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Grade for 2019-2020 School Year

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Address

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City

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Zip

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Student Phone

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Student Email

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Parent/Guardian Information

Parent/Guardian Name

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Phone

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Parent/Guardian Name

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Phone

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Parent Initials Required

I understand that a fee is associated with participation in NYOS athletics and I will not be reimbursed the athletic fee after the first two (2) weeks of regular season practice

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I understand that unless other arrangements have been made in advance with the Athletic Director, fees are due before the first regular season game. Failure to pay fees can result in diploma/transcripts being withheld.

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I understand that each family participating in the athletic program is expected to be involved and participate in a supportive manner (i.e., concession stands, fundraising, ticket sales, homecoming events, game administration)

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I understand that a completed Physical Evaluation form and Concussion Acknowledgement form must be on file with the Athletic Director prior to the first practice.

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I have read and understand the requirements for High School Athletes to obtain a “LETTER” award.

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Family Physician

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Physician Address

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Physician Phone

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List any medical condition(s) or ongoing treatments, including routine medications:

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Middle School Soccer Participation Fee: $200
High School Soccer Participation Fee: $225

Go here to submit Athletics Fee Payment. Then complete the registration form on this page.

Uniform attire will be provided.

Permissions

(Parent/Guardian please sign and date the below items)

I, the Parent/ Guardian of the above named athlete on the NYOS Jaguars team, give my approval Name of Parent/Guardian for his/her participation in any and all soccer related activities during the current school year. I assume all hazards incidental to such participation, including transportation to and from the activities, and do hereby waive, release, absolve, indemnify, and agree to hold harmless NYOS Charter School, the representative organization, sponsors, coaches, representatives, supervisors, participants and persons working with and/or transporting my child to and from any activities for any claim arising out of any injury to my child, whether the result of negligence or for any cause except to the amount covered by accident or liability insurance.

Parent/Guardian Signature

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Date

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In the event of injury to my child, I hereby grant permission for my child to be transported as deemed necessary by a coach.

Parent/Guardian Signature

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Date

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In the event of injury to my child, I hereby grant authority to a qualified physician or emergency medical personnel to render such medical treatment as deemed necessary under the circumstances.

Parent/Guardian Signature

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Date

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