2020 Amenity Athletics Spring Soccer Registration

* Required Fields
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Fee: $125.00Soccer Registration. $30.00 Late Fee Added.
                 2020 Spring Soccer
Participant Information
*Child's First Name (to appear on trophy)
Don't type in this field
*Child's Last Name (to appear on trophy)
*Gender
*Home Phone
Cell Phone
*Email Address for Primary Contact
*Re-enter Email Address for Primary Contact
*Shirt Size
*Short Size
*Guardian 1, First and Last Name
Guardian 2, First and Last Name
Alternate Email Address
*Player's Date of Birth
mm/dd/yyyy
*Age as of September 1, 2019
*Division
*Street Address
City
State
Zip Code
*Community
WGV Communities ONLY: practice Community of Choice
Years of experience
*Skill level
Coach Request
Player Request- ONE ONLY
Coach and Volunteer Status
ONLY ONE (1) Head Coach Discount per team.
The $50.00 Head Coach Refund will be issued to you once the Athletic Director has chosen Head Coaches and the Required Background Check has been completed.
The $50.00 Head Coach Refund will be issued by VESTA to the Credit Card you provided for the Soccer Registration fee through PayPal.
Thank you for Volunteering! 
*Coaching Status
Volunteer Status
Emergency Contact Information
*Primary Emergency Contact, First and Last Name
*Relationship
*Daytime Phone
*Cell Phone
Secondary Emergency Contact, First and Last Name
Relationship
Daytime Phone
Cell Phone
Participant Medical Information
Hospital/Clinic Preference
Physician's Name
Physician's Phone Number
Insurance Company
Insurance Policy Number
Medical Conditions/Allergies
Waiver
Waiver & Photo Release
WAIVER:
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency. I also release Vesta, Heritage Landing CDD, the community of King and Bear, Turnbull Creek CDD, Durbin Crossing CDD, Bartram Springs CDD and Aberdeen CDD, the company, its officers, directors, coaches and employees from liability in case of accident during activities related to the above entities, as long as normal safety procedures have been taken.
PHOTO RELEASE:
I give my permission to Heritage Landing CDD, the community of King and Bear, Turnbull Creek CDD, Durbin Crossing CDD, Bartram Springs CDD and Aberdeen CDD and Vesta Property Services to use, without limitation or obligation, photographs, film footage or tape recordings that may include my child’s image or voice for purposes of promoting or interpreting Heritage Landing CDD, the community of King and Bear, Turnbull Creek CDD, Durbin Crossing CDD, Bartram Springs CDD and Aberdeen CDD, Amenity Athletics and Vesta Property Services programs.
*Waiver Confirmation
 I have read and agree with the waiver AND photo release. 
How did you hear about Amenity Athletics?
PAYMENT and REFUND POLICY
PAYMENT must be made in order for your child to be placed on a team. If payment is not made your registration will be deleted. We will attempt to notify you first.
*Payment Policy
 Payment MUST be made at the time of registration. If payment is not made at the time of registration, your registration will be deleted. 
*Refund Policy
 A $15.00 service charge will be deducted from any refund that VESTA is not directly responsible for. 
REFUNDS will only be issued from VESTA directly and must be approved by Amenity Athletics.
Thank you for choosing Amenity Athletics! 
The Following is REQUIRED for those applying for Head Coach only. If you are NOT applying for Head Coach, please proceed to the Pay Online button below.
Head Coach Required Background Check and Authorization
Click the link to complete the REQUIRED BACKGROUND CHECK:
RETURNING COACHES: Check BACKGROUND CONFIRMATION  box ONLY to allow Amenity Athletics to execute the required background check.
Head Coach Background Check Authorization
In connection with my suitability for employment with Amenity Athletics, VESTA, (herein “Client’) or if employed, I understand that prior to or at any time after my employment commences a consumer report may be requested for employment/volunteer purposes from Protect Youth Sports, Inc.,(herein: “Protect Youth Sports”) from public records including; but not limited to, Social Security number, motor vehicle operation history/driving records, workers’ compensation information and criminal history to the extent permitted by law from various local, state, and federal agencies. Further, I understand that an Employment Credit Report may be requested. Finally, I understand that an Investigative Consumer Report may be requested and, as required under §606(a)(1) of the federal Fair Credit Reporting Act (FCRA), IS U.S.C. §1681 et seq., I understand that this Report will include information as to my character, general reputation, personal characteristics, mode of living, work habits, performance, experience, along with reasons for termination of past employment, whichever are applicable, obtained through personal interviews with associates who have knowledge concerning such items of information.

I VOLUNTARILY AND KNOWINGLY AUTHORIZE ANY PRESENT OR PAST EMPLOYER OR SUPERVISOR, COLLEGE OR UNIVERSITY OR OTHER INSTITUTION OF LEARNING, ADMINISTRATOR, LAW ENFORCEMENT AGENCY, STATE AGENCY, LOCAL AGENCY, FEDERAL AGENCY, CREDIT BUREAU, PRIVATE BUSINESS, MILITARY BRANCH OR THE NATIONAL PERSONNEL RECORDS CENTER, PERSONAL REFERENCE, AND/OR OTHER PERSONS TO GIVE RECORDS OR INFORMATION THEY MAY HAVE CONCERNING MY CRIMINAL HISTORY, MOTOR VEHICLE HISTORY/DRIVING HISTORY, SOCIAL SECURITY NUMBER, EARNINGS HISTORY, CHARACTER, GENERAL REPUTATION, MODE OF LIVING,AND EMPLOYMENT (INCLUDING REASONS FOR TERMINATION), CREDIT HISTORY, CREDIT CAPACITY, OR CREDIT STANDING OR ANY OTHER INFORMATION REQUESTED BY PROTECT YOUTH SPORTS DEEMED PERTINENT TO MY EMPLOYMENT.

In accordance with the FCRA and applicable state laws, I understand that I have the right to request a complete and accurate disclosure of the nature and scope of the investigation requested. Further, I am entitled to know if employment is denied because of information obtained by my prospective employer from a Reporting Agency. If so, I will be so advised in writing and be given the name, address and toll free number of the agency, a statement that the action was based in whole or in part on information contained in the Report, and written notice that I have the right (i) if I request, to obtain within sixty days a free copy of the Report from the Reporting Agency (under no circumstances shall such cost exceed the actual costs of duplication), and from any other Consumer Reporting Agency which compiles and maintains files on consumers on a nationwide basis; and, (ii) to dispute the accuracy or completeness of any information in a consumer report furnished by the Reporting Agency. I understand that upon my request with reasonable notice and after furnishing proper identification, Protect Youth Sports’ trained personnel will provide me with investigative information in my file during normal business hours in person or upon written request, by certified mail to a specified addressee, or telephone as permitted by law. Further, I understand that should I wish to review my file in person; I am permitted to be accompanied by one other person of my choosing who shall furnish reasonable identification and if requested, Protect Youth Sports will provide a written explanation of any coded information contained in my file. I understand that Protect Youth Sports is a Consumer Reporting Agency and it is Protect Youth Sports’ policy to not be involved in or make hiring decisions or recommendation.

Protect Youth Sports’ privacy policy limits the information it provides to the client named herein, however I hereby authorize the client to share such information with parties in interest who have a “need to know” such information to protect them and their employees. Protect Youth Sports does not sell or otherwise provide any of the information found in its background investigations to any other party other than the client.

Background Confirmation
 I have read and authorize a Background Check. 
Head Coach Contact Information.
First Name
Last Name
Email Address
Phone Number
Home Address, City, State, Zip Code
Shirt Size
Head Coach Code of Conduct
Head Coach Code of Conduct

 With regard to my players: I believe that my role as a coach is to contribute to the overall success, physical, and athletic growth of the player through participation in soccer.
I will endeavor to be a good instructor and a positive role model for my players. 

I believe that the score of a game comes second to the safety and welfare of all my players.

I will endeavor to put winning in its proper perspective.

I am responsible for understanding and competing within the letter and the spirit of the Laws of the Game.

I will teach my players to understand and play within the letter and spirit of the Laws, as well.

With regard to opposing teams: I believe that the way my team conducts itself can also have an influence, for better or worse, on those we compete against.

I will endeavor to make my team a positive role model.

I will not coach, nor allow my players to play, with intent to cause injury to opposing players.

Neither I nor my players and spectators will display hostile behavior towards opposing players.

I will emphasize winning without boasting and losing without bitterness.

With regard to Referees:

I believe that Referees, just as coaches and players, are attempting to do their best.

I will instill in my players and spectators a respect for that fact.

I understand that my attitude can influence my players and spectators.

I will display a controlled and undemonstrative attitude toward Referees at all times.

Neither I nor my players and spectators will address a Referee before, during or after the game in a demeaning fashion.

 

Coaches are responsible for the conduct of their players and the spectators on their side of the field, specifically as it relates to the referee, coaches, players and spectators on the other team. Verbal and/or physical abuse will not be tolerated. If players conduct is not in the spirit of recreational soccer the referee can have the player leave the game for a cooling off period (length-determined by the referee). The same conduct rule applies to spectators. If the cooling off period does not resolve the problem, the spectator may be asked to leave the field. If a coach approaches a referee or steps on to the field to challenge a call, they will be asked to leave the game and the incident will be reviewed.

A review board consisting of (ASG Athletic Director, ASG Vice President, and 1 resident from each Bartram Springs and Heritage Landing) will review any incidents and recommend and/or enforce any/all disciplinary actions.   I have read the above Code of Conduct and understand the enforcement and possible consequences for any infractions.

Code of Conduct Confirmation
 I have read and agree with the Coaches Code of Conduct. 
    Thank you for choosing Amenity Athletics! 
Total Due:
$ 
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