SEMPER FIT YOUTH SPORTS

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PARENT INFORMATION MUST PROVIDE AT LEAST TWO PHONE NUMBERS EMAIL ADDRESS PARENT INFORMATION MUST PROVIDE AT LEAST TWO PHONE NUMBERS EMAIL ADDRESS PARENT INFORMATION MUST PROVIDE AT LEAST TWO PHONE NUMBERS EMAIL ADDRESS
Sponsors Last Name__________________________________Sponsors First Name__________________________________Sponsors Rank/Title____________ Home Phone_______________________________Duty Phone___________________________ Cell Phone______________________________________________ Email_____________________________________________________________Alt. Email________________________________________________________________Please Circle One USMC / USN / ARMY / USAF / GS / NAF / DODDS / CONTRACTOR / RETIRED Emergency Contact (other than parent listed above) Last Name________________________________________________ First Name__________________________________________________Phone_________________________________ I would like to ? Head Coach ? Assistant Coach ? Team Parent (Volunteer Coaches Coaching Application must be completed to be considered.) Name of parent/guardian that will be volunteering to COACH ________________________________________________________________________________ Sponsors Last Name__________________________________Sponsors First Name__________________________________Sponsors Rank/Title____________ Home Phone_______________________________Duty Phone___________________________ Cell Phone______________________________________________ Email_____________________________________________________________Alt. Email________________________________________________________________Please Circle One USMC / USN / ARMY / USAF / GS / NAF / DODDS / CONTRACTOR / RETIRED Emergency Contact (other than parent listed above) Last Name________________________________________________ First Name__________________________________________________Phone_________________________________ I would like to ? Head Coach ? Assistant Coach ? Team Parent (Volunteer Coaches Coaching Application must be completed to be considered.) Name of parent/guardian that will be volunteering to COACH ________________________________________________________________________________ Sponsors Last Name__________________________________Sponsors First Name__________________________________Sponsors Rank/Title____________ Home Phone_______________________________Duty Phone___________________________ Cell Phone______________________________________________ Email_____________________________________________________________Alt. Email________________________________________________________________Please Circle One USMC / USN / ARMY / USAF / GS / NAF / DODDS / CONTRACTOR / RETIRED Emergency Contact (other than parent listed above) Last Name________________________________________________ First Name__________________________________________________Phone_________________________________ I would like to ? Head Coach ? Assistant Coach ? Team Parent (Volunteer Coaches Coaching Application must be completed to be considered.) Name of parent/guardian that will be volunteering to COACH ________________________________________________________________________________
CHILDS INFORMATION MUST COMPLETE ALL SECTIONS, TO INCLUDE HEIGHT/WEIGHT/SKILL LEVEL CHILDS INFORMATION MUST COMPLETE ALL SECTIONS, TO INCLUDE HEIGHT/WEIGHT/SKILL LEVEL CHILDS INFORMATION MUST COMPLETE ALL SECTIONS, TO INCLUDE HEIGHT/WEIGHT/SKILL LEVEL
Sport you are registering for (Please check one) ? Baseball ? Softball ?Cheerleading ?Basketball ? Soccer Players Last Name_________________________________________________Players First Name___________________________________________MI________ Example / / Sex ? Male Birth Date / / Age Height Weight ?Female Please list any siblings also registered (name age must be provided) Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Sport you are registering for (Please check one) ? Baseball ? Softball ?Cheerleading ?Basketball ? Soccer Players Last Name_________________________________________________Players First Name___________________________________________MI________ Example / / Sex ? Male Birth Date / / Age Height Weight ?Female Please list any siblings also registered (name age must be provided) Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Sport you are registering for (Please check one) ? Baseball ? Softball ?Cheerleading ?Basketball ? Soccer Players Last Name_________________________________________________Players First Name___________________________________________MI________ Example / / Sex ? Male Birth Date / / Age Height Weight ?Female Please list any siblings also registered (name age must be provided) Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F Name _______________________________________ Age ________ M / F
PRACTICE REQUESTS PRACTICE REQUESTS PRACTICE REQUESTS
Requests for ages 5-8 will be considered but may not always be granted.Location that you are registering for ___ CENTRAL (This area includes Foster/Kishaba/Futenma) ______ NORTH (This area includes Courtney/McT) ______ SOUTH (This area includes Kinser/Futenma) Specific camps in the Central, North or South locations can not be guaranteed. (e.g. McT can not be guaranteed over Camp Courtney). Spouses of deployed service members will receive 10 off the registration fee at the time of registration as well as hold priority for practice time/location preference (if available). In order to qualify for this program, applicants must present their OIF/OEF deployed benefits card or a copy of the deployment orders stating that their spouse will be absent for at least 30 days of the current playing season in support of OIF/OEF. Without this documentation, we can not guarantee a request. WITHOUT DOCUMENTATION, PRIORITY WILL NOT BE GIVEN. ?Check here if participating in the Deployed Spouses Program (as stated above) and please indicate any practice requests here_________________________________ Requests for ages 5-8 will be considered but may not always be granted.Location that you are registering for ___ CENTRAL (This area includes Foster/Kishaba/Futenma) ______ NORTH (This area includes Courtney/McT) ______ SOUTH (This area includes Kinser/Futenma) Specific camps in the Central, North or South locations can not be guaranteed. (e.g. McT can not be guaranteed over Camp Courtney). Spouses of deployed service members will receive 10 off the registration fee at the time of registration as well as hold priority for practice time/location preference (if available). In order to qualify for this program, applicants must present their OIF/OEF deployed benefits card or a copy of the deployment orders stating that their spouse will be absent for at least 30 days of the current playing season in support of OIF/OEF. Without this documentation, we can not guarantee a request. WITHOUT DOCUMENTATION, PRIORITY WILL NOT BE GIVEN. ?Check here if participating in the Deployed Spouses Program (as stated above) and please indicate any practice requests here_________________________________ Requests for ages 5-8 will be considered but may not always be granted.Location that you are registering for ___ CENTRAL (This area includes Foster/Kishaba/Futenma) ______ NORTH (This area includes Courtney/McT) ______ SOUTH (This area includes Kinser/Futenma) Specific camps in the Central, North or South locations can not be guaranteed. (e.g. McT can not be guaranteed over Camp Courtney). Spouses of deployed service members will receive 10 off the registration fee at the time of registration as well as hold priority for practice time/location preference (if available). In order to qualify for this program, applicants must present their OIF/OEF deployed benefits card or a copy of the deployment orders stating that their spouse will be absent for at least 30 days of the current playing season in support of OIF/OEF. Without this documentation, we can not guarantee a request. WITHOUT DOCUMENTATION, PRIORITY WILL NOT BE GIVEN. ?Check here if participating in the Deployed Spouses Program (as stated above) and please indicate any practice requests here_________________________________
MEDICIAL HISTORY MEDICIAL HISTORY MEDICIAL HISTORY
1. Does your child have any known medical conditions, ailments or abnormalities? Y / N 2. Is your child currently taking any medications? Y / N 3. Has your child had any previous head, neck or back injuries? Y / N 4. Does your child require an inhaler? Y / N (If yes, please ensure that your child has it during games/practices and a parent/guardian is present at all times to assist. Please do not give the inhaler to a coach/official. ) 1. Does your child have any known medical conditions, ailments or abnormalities? Y / N 2. Is your child currently taking any medications? Y / N 3. Has your child had any previous head, neck or back injuries? Y / N 4. Does your child require an inhaler? Y / N (If yes, please ensure that your child has it during games/practices and a parent/guardian is present at all times to assist. Please do not give the inhaler to a coach/official. ) 1. Does your child have any known medical conditions, ailments or abnormalities? Y / N 2. Is your child currently taking any medications? Y / N 3. Has your child had any previous head, neck or back injuries? Y / N 4. Does your child require an inhaler? Y / N (If yes, please ensure that your child has it during games/practices and a parent/guardian is present at all times to assist. Please do not give the inhaler to a coach/official. )
MCCS GYM STAFF MUST COMPLETE THE BELOW SECTIONS AT THE TIME OF REGISTRATION ONLY MCCS GYM STAFF MUST COMPLETE THE BELOW SECTIONS AT THE TIME OF REGISTRATION ONLY MCCS GYM STAFF MUST COMPLETE THE BELOW SECTIONS AT THE TIME OF REGISTRATION ONLY
Childs Birth date ? Verified on Age Roster ? If Not Day_____________Month_________________Year_________________Age_________ ? If claiming the Deployed Spouses Program, I have verified the applicants Deployed Spouses Benefit Program Card/Orders. Employees Name(Print)________________________________________Date______________Reg. Fee ____________Receipt _________________________ Childs Birth date ? Verified on Age Roster ? If Not Day_____________Month_________________Year_________________Age_________ ? If claiming the Deployed Spouses Program, I have verified the applicants Deployed Spouses Benefit Program Card/Orders. Employees Name(Print)________________________________________Date______________Reg. Fee ____________Receipt _________________________ Childs Birth date ? Verified on Age Roster ? If Not Day_____________Month_________________Year_________________Age_________ ? If claiming the Deployed Spouses Program, I have verified the applicants Deployed Spouses Benefit Program Card/Orders. Employees Name(Print)________________________________________Date______________Reg. Fee ____________Receipt _________________________
SEMPER FIT YOUTH SPORTS
AGES 5-8 ONLY!
This section for YS use only
Please provide at least two phone numbers an
email address.
Please provide requested information or
registration is considered incomplete.
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5ft
1in
115lbs
DAYS ____ MON. WED. ____ TUES.
THURS. ____ ANY DAY TIMES ____
1700-1800 ____ 1800-1900 ____ 1900-2000
____ ANY TIME
Please note that if a practice choice is not
marked, SFYS will assign a day/time for you.
If choosing ANY DAY but would like to match
this child to older siblings team please mark
here ______
If you have answered Yes to any of the above
questions, please describe on the line provided
below Additional information may be required.
_________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
_________________ Please attach a note if more
space is required.
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MCCS SOP XX-02, Subj YOUTH SPORTS PROGRAM



YOUTH SPORTS COACHES ASSOCIATION
PARENTS CODE OF ETHICS I Hereby Pledge To
Provide Positive Support, Care, And Encouragement
For My Child Participating In Youth Sports By
Following This Code Of Ethics I will
encourage good sportsmanship by demonstrating
positive support for all players, coaches, and
officials at every game, practice and/or other
youth sports events. I will place the
emotional and physical well being of my child
ahead of any personal desire to win. I will
insist that my child play in a safe and healthy
environment. I will provide support for
coaches and officials working with my child to
provide a positive, enjoyable experience for all.
I will demand a drug, alcohol, and
tobacco-free environment for my child and agree
to assist by refraining from their use at all
youth sports events. I will remember that the
game is for children and not for adults. I
will do my very best to make youth sports fun for
my child. I will ask my child to treat other
players, coaches, fans, and officials with
respect regardless of race, sex, creed, or
ability. I will promise to help my child
enjoy the youth sports experience within my
personal constraints by assisting with coaching,
being a respectful fan, providing transportation
or whatever I am capable of doing. I will
require that my child's coach be trained in the
responsibilities of being a youth sports coach
and that the coach agrees to the youth sports
Coaches' Code of Ethics. I will read the
NYSCA National Standards for Youth Sports and do
everything in my power to assist all youth sports
organizations to implement and enforce them.
If an issue should develop on the field or court
between coaches, referees, youth, and parents,
this issue should be presented to an MCCS Youth
Sports representative in a calm and professional
manner or prepare a clear and factual written
statement to facilitate resolution and or
initiate an investigation. If written, it is to
be submitted to Youth Sports within two working
days. If resolution is not reached, military
commands, inspectors, or other outside agencies
will be notified.
PLEASE READ AND INITIAL

• _____1. Special Requests I understand that
  teams practice twice a week on the camp that they
  live on, or next closest camp available . I also
  understand that unless participating in the
  Deployed Spouses Program, requests may be
  considered (for ages 5-8 only) but may not always
  be granted. I understand that registering early
  during the registration period does not give my
  child priority for requests and will not
  guarantee your team will have a coach.
• _____2. No switching teams policy I
  understand once SFYS has assigned an eligible
  player to a team, there will be no switching of
  teams or trading of players with other teams.
  Special requests are granted for the placement of
  siblings (same team) if and only when they are
  within the same age division. Coaches will
  select practice days and times. Upon
  registering, parents agree that they must plan
  accordingly to accommodate practice times and
  location.
• _____3. Advancing Divisions I understand
  participants may not play in a lower age division
  that they belong (unless of a medical condition),
  but may request to move up one age division
  providing there is room on the team and the move
  does not displace a child belonging in that age
  division. However, the minimum playing time rule
  will be waived if a child moves up to the next
  higher division. Once a child has been moved up
  to the next age division, he/she cannot be moved
  back down. In order to advance, the child must
  be within one year of age of the requested
  division. (e.g. If a child is requesting to be
  moved to the Termite Division(ages 7-8), he/she
  must be at least 6 years old to be considered.)
• _____4. Volunteer Coaches I understand
  registering my child during the registration
  period does not guarantee that your childs team
  will have a coach. Teams are built prior to coach
  placement therefore children are not specifically
  assigned to teams with or without a coach.
  Parents will be contacted and one of the
  following may occur (1) SFYS will attempt to
  place all children onto other teams if space is
  available. (2) If not enough space available,
  children will be placed priority onto the waiting
  list in the order in which they registered. (3)
  Refunds will be issued. At any time, a parent may
  request a refund as long as a uniform has not
  been issued/used. Requests for a specific coach
  and/or team can not be guaranteed.
• _____5. Image Release In consideration for my
  childs participation in MCCS SFYS, I agree that
  my likeness, or the likeness of my participating
  child and family may be photographed or video
  taped and that such image may be published to
  promote or publicize the sports program, for
  staff training or for MCCS Publications (to
  include online publications). I authorize MCCS to
  record, by video, film, audio or any other means
  of recordation, my or my participating childs
  image, likeness, voice and/or characteristics
  (the images) and waive, release and discharge
  MCCS from any claim of right I may have now or in
  the future to those images.
• _____6. Medical Care Authorization I hereby
  authorize my child to receive emergency medical
  treatment whenever deemed necessary at any U.S.
  Military Medical Facility or any other medical
  facility when an U.S. Medical Facility is not
  available.
• _____7. Liability Statement I hereby agree to
  release the U.S. and Japanese Governments, their
  officials, respective employees and agents,
  including MCCS, its employees, officers and
  agents (collectively, the Government), as well
  as any and all Youth Sports staff, officials,
  sponsors, volunteers and participants from any
  liability and from any claims whatsoever for
  loss, personal injury or property damage arising
  from or related to my childs participation in
  the SFYS program. Furthermore, I agree to hold
  harmless and indemnify the Government from any
  claims, costs or expenses which may arise out of
  my childs participation in the SFYS program.
• By signing below, I verify that I have read,
  fully understand/comply and declare the
  information contained herein is correct, true and
  complete. Without a signature/initials,
  registration will automatically be rejected by
  the Semper Fit Youth Sports Office.
• ? Parents Printed Name__________________________
  _______________ ? Parents Signature_____________
  ____________________________Date_________________