Bloomingdale Youth Organization Football/Cheering Registration

2009 Season – SQUAD: __________________

Child’s Name:_______________________________________________________________

Address:____________________________________________________________________

Home Phone:____________________________Birthday:_____________________________

Age as of 09/01/09____________________Grade as of 09/01/09________________________

Parent / Guardian Name:__________________________________________________

Home #:_______________________________Cell #:___________________________

Email Address: _________________________________________________________

Emergency Name & Number:______________________________________________

Medical Notes & Allergies:________________________________________________

______________________________________________________________________

Registration Fees:

Payment Method:  Cash:__________________   Check # and Amount:_______________

SIGNING THIS FORM GIVES US PERMISSION TO COACH AND ADVISE YOUR CHILD DURING THE FOOTBALL/CHEERING SEASON. BYO IS NOT RESPONSIBLE FOR ANY INJURY INCURED BY HIM/HER AND THE EXPENSE INCURRED WHILE ENGAGED IN ANY ACTIVITES SPONSSORED BY BYO. PROMARY INSURANCE COVERAGE WILL BE INSURANCE CARRIED UNDER YOUR FAMILY POLICY OR PROVIDED BY THE PARENTS’ EMPLOYER. BYO INSURANCE WILL SUPPLEMENT MEDICAL COSTS BY PARENTS’ POLICY.

          IN THE EVENT OF AN EMERGENCY. I GIVE MY CONSENT FOR EMERGENCY MEDICAL TREATMENT AS IS DEEMED NECESSARY. I UNDERSTAND THAT THIS AUTHORITY WILL BE EXCERISED ONLY IF REASONABLE ATTEMPTS TO CONTACT ME SHOULD FAIL. I AUTHORIZE (ADULTS) TO ACT ON MY NEHALF TO SELECT AND AUTHORIZE A PHYSICIAN OR A HOSPITAL TO GIVE MEDICAL EMERGENCY CARE.

Signature of Parent/Guardian:___________________________________________Date:___________________

Signature of Board Member:___________________________________________________________________

NOTICE FOR PARENTS

BLOOMINGDALE YOUTH ORGANIZATION

REFUND POLICY

Pursuant to a Resolution adopted by the Board of Directors of the Bloomingdale Youth Organization, the Organization has instituted a strict refund policy governing when if refunds are to be given when a player /cheerleader withdraws from the Organization. The policy is as follows:

1.      If a player / cheerleader withdraws from the Organization before August 1^st, that player is entitled to a full refund of all fees paid.

2.      If a player / cheerleader withdraws from the Organization on August 2^nd through August 31^st, that player/cheerleader shall be entitled to a refund of all fees paid, less a $45.00 administrative fee to be retained by the Organization to defray actual cost incurred by the Organization. Any fees incurred for personalized items will not be refunded.

3.      If a player / cheerleader withdraws from the Organization on September 1^st or any time thereafter, that player shall be entitles to no refund of any fees paid to the Organization.

The purpose of this Notice is to make you, the parents or guardians, aware of the Organization refund policy. The Board of Directors permits no exceptions whatsoever to this refund policy. This included a situation where a player / cheerleader must withdraw due to illness or injury or for reasons beyond that player’s control.

All parents / guardians of children signing up for membership in the Bloomingdale Youth Organization must sign the bottom of this notice acknowledging that you have been made aware of the refund policy and that you agree to the terms of the refund policy.

                                                                        ___________________________________________

                                                                        Child’s Name:

___________________________________________

                                                            Signature of Parent / Guardian

Bloomingdale Youth Organization

Internet Release Form

Childs Name:_______________________________________________________

          I, the undersigned as parent or legal guardian, do hereby grant permission to the Bloomingdale Youth Organization to publish the Photo / Image of the child names above

on the BYO website.

___________  I give permission                ____________  I do not give permission

Parent / Guardian Signature: ____________________________________________

Date: _______________________________________________________________

MANDATORY ITEMS:

Each child in the organization is asked to participate in some mandatory items during the Football / Cheering season. By signing this form you have agreed to all of the below statements.

                                                                                                                          Will participate      Opt Out

1.      Calendar Raffle - Each child is responsible for selling 20 raffle tickets.                                   

The second and third child will only be responsible for selling 10 tickets

each. These tickets are drawn 3 times a week once the season has started.         _______          _______

It is a MANDATORY RAFFLE. If you choose not to participate a fee                     

of $100.00 will be added to your registration fee.

2.      Tag Day – is scheduled for a weekend in the fall and all players and                _______          _______

Cheerleaders are expected to attend. If you choose not to participate

in Tag Day you may opt out for $20.00.

3.      Snack Stand signups – Each family is asked to sign up twice to help work

the snack stand, apparel stand, sell 50/50 tickets or help with the chains              MANDATORY           

during the season. You will be asked to sign up during the month of August.        

I have read the above and understand what will be asked of me during the football / cheering season

By signing the below I have agreed to all terms and conditions.

_______________________________________________

Childs Name:

_______________________________________________                                ________________

Parent / Guardian Signature                                                                                  Date

BYO is looking for volunteers that could help out with the following items throughout the season, write on the line next to the item that you would be interested in helping out. 

Coaching: _____________________________________

Cheering Coach or Advisor: _______________________                                       

Lining the field: _________________________________

Cleanup after the game: ___________________________

Announcer during the game: _______________________

Someone to take pictures during the game:____________

NOTICE FOR PARENTS

BLOOMINGDALE YOUTH ORGANIZATION

REFUND POLICY

Pursuant to a Resolution adopted by the Board of Directors of the Bloomingdale Youth Organization, the Organization has instituted a strict refund policy governing when if refunds are to be given when a player /cheerleader withdraws from the Organization. The policy is as follows:

4.      If a player / cheerleader withdraws from the Organization before August 1^st, that player is entitled to a full refund of all fees paid.

5.      If a player / cheerleader withdraws from the Organization on August 2^nd through August 31^st, that player/cheerleader shall be entitled to a refund of all fees paid, less a $45.00 administrative fee to be retained by the Organization to defray actual cost incurred by the Organization. Any fees incurred for personalized items will not be refunded.

6.      If a player / cheerleader withdraws from the Organization on September 1^st or any time thereafter, that player shall be entitles to no refund of any fees paid to the Organization.

The purpose of this Notice is to make you, the parents or guardians, aware of the Organization refund policy. The Board of Directors permits no exceptions whatsoever to this refund policy. This included a situation where a player / cheerleader must withdraw due to illness or injury or for reasons beyond that player’s control.

All parents / guardians of children signing up for membership in the Bloomingdale Youth Organization must sign the bottom of this notice acknowledging that you have been made aware of the refund policy and that you agree to the terms of the refund policy.

                                                                        ___________________________________________

                                                                        Child’s Name:

___________________________________________

                                                            Signature of Parent / Guardian

MANDATORY ITEMS:

Each child in the organization is asked to participate in some mandatory items during the Football / Cheering season. By signing this form you have agreed to all of the below statements.

                                                                                                                          Will participate      Opt Out

4.      Calendar Raffle - Each child is responsible for selling 20 raffle tickets.                                   

The second and third child will only be responsible for selling 10 tickets

each. These tickets are drawn 3 times a week once the season has started.         _______          _______

It is a MANDATORY RAFFLE. If you choose not to participate a fee                     

of $100.00 will be added to your registration fee.

5.      Tag Day – is scheduled for a weekend in the fall and all players and                _______          _______

Cheerleaders are expected to attend. If you choose not to participate

in Tag Day you may opt out for $20.00.

6.      Snack Stand signups – Each family is asked to sign up twice to help work

the snack stand, apparel stand, sell 50/50 tickets or help with the chains              MANDATORY           

during the season. You will be asked to sign up during the month of August.        

I have read the above and understand what will be asked of me during the football / cheering season

By signing the below I have agreed to all terms and conditions.

_______________________________________________

Childs Name:

_______________________________________________                                ________________

Parent / Guardian Signature                                                                                  Date

BYO is looking for volunteers that could help out with the following items throughout the season, write on the line next to the item that you would be interested in helping out. 

Coaching: _____________________________________

Cheering Coach or Advisor: _______________________                                       

Lining the field: _________________________________

Cleanup after the game: ___________________________

Announcer during the game: _______________________

Someone to take pictures during the game:____________