VIEWS: 4 PAGES: 2 POSTED ON: 4/21/2011
2011 Children’s In Partnership with: Spring Soccer & Flag Football League April 9 - May 14 Beginners Welcome! All games will be played Saturdays at Balduck Memorial Park; Located at the corner of Canyon St. & Chandler Park Dr. Soccer: Flag Football: 4-5 yrs 6-7 yrs. 8-10 yrs. 11-14 yrs. 7 - 9 yrs. 11 - 13 yrs. Please use child’s age as of April 9, 2011 Please use child’s age as of April 9, 2011 The league fee is $ 35 until April 1; $ 50 after April 1 ESC provides Soccer uniform (jersey & socks) or Flag Football jersey; Soccer players must supply and wear shin guards; Flag Football players must supply & wear mouth guards. For more info call: (313) 402-4575 or e-mail questions to email@example.com Mail registration form with $ 35 payment Eagle Sports Club (check or money order) by April 1 to: 21001 Moross Rd. (payment required with registration form) Detroit, MI 48236 Select One Program: Girl _______ Soccer Age Divisions: 4-5 6-7 8-10 11-14 Boy _______ Flag Football Age Divisions: 7-9 10-13 New Eagle Sports Club Player Returning Eagle Sports Club Player Child’s Name: Grade: Age: Coach/Team/Teammate Request*: * ESC makes every effort to honor all requests but reserves the right to place your child on any team. Address: _________________________________________________________________ Birth Date: / / City: State: Zip: ________ Primary Phone: Secondary Phone: School Attended: Email Address(es): _____________________________________________________________ Parent/Guardian’s Name: I would like to coach: ____________ For ESC Use Only: (PLEASE PRINT) Amount: __________ I would like to Volunteer:_________ PM Type: __________ Waiver on back must be signed by parent or legal guardian. Date: ____________ Initials: ____________ www.eaglesportsclub.com Eagle Sports Club By signing below the parent(s) or guardian of _____________________________ (insert child’s name) agree to the following: Photography Consent Agreement I / We hereby grant to Eagle Sports Club, and their staff, volunteers, agents, successors, licensees and assignees, the irrevocable right and license to use my photograph or the photograph of my child: to edit or crop photograph, and use or authorize the use of such photographs or any portion thereof in any manner or media at any time in perpetuity and to use my name, likeness, biographical or other information concerning me in connection therewith, including promotion in all media. I agree to hold Eagle Sports Club harmless against any liability, loss or damage resulting from the use of my photograph, and hereby release and discharge this organization from any and all claims whatsoever in connection with such use of photographs. Release of Liability and Acknowledgment of Risk I / We recognize that serious injury sometimes occurs in connection with athletic activities, and hereby exonerate Eagle Sports Club, it’s employees, coaches, volunteers or parents from any liabilities in connection therewith. Eagle Sports Club does not provide individual accident insurance. We strongly encourage participants to seek a doctor’s approval before participating in an athletic activity. Participants and spectators are responsible for adequately protecting themselves against cost of injury or property damage. Consent for Treatment of Minor Child In my absence, I / We authorize medical, surgical and dental treatment, both emergency and non-emergency, considered necessary and proper for the diagnosis and treatment of my (our) child listed above. I / We further authorize the manager, coach, assistant manager, and assistant coaches to cause my / our child to be transported to the nearest medical facility for treatment of any injury or illness. I / We further realize and hold harmless Eagle Sport Club, its employees, coaches, volunteers or parents from any liability as the result, direct or otherwise, of this transportation or medical care. I hereby assume responsibility for any such treatment. I also certify that my child is in good health and has no restrictions from competing in organized recreational activities. I / WE HAVE READ THE ABOVE WAIVERS FOR PHOTOGRAPHY CONSENT, RELEASE OF LIABILITY, AND CONSENT FOR MEDICAL TREATMENT AND UNDERSTAND THEM AND, BY SIGNING BELOW, AGREE TO THEM. ________________________________________ ________________________________ Signature of parent or legal guardian Signature of parent or legal guardian Please Note: ESC Spring Soccer & Flag Football teams practice day & time will be determined by the team coach. All teams will practice once a week in the early evening Monday through Friday. 4-5 Soccer teams typically do not hold practices. All games are on Saturdays at Balduck Park starting Saturday, April 9 and concluding Saturday, May 14. Practices are very important but missing an occasional practice will not effect your child’s game play. Soccer Game Times will be: 4 - 5 yr. olds @ 10 AM; 6 - 7 yr. olds @ 11:30 AM; 8 - 10 yr. olds @ 1 PM; 11 - 14 yr. olds @ 2:30 PM Flag Football Game Times will be: 7 - 9 yr. olds @ 10 AM; 10 - 13 yr. olds @ 12 PM There is a mandatory PARENTS’ MEETING on Tuesday, April 5 @ 7 PM at Grace Community Church. Please call 313-402-4575 for further information.
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