FA24 LATE REG FLAG FOOTBALL - Warchiefs Sports

Arrowhead Flag Football Fall 2024 Registration (1)

PLAYER 1 INFORMATION
Player 1 Division*
Please choose the correct division. If the wrong division is chosen, players will be placed in the correct division unless given approval in advance.
Player's Name*
First Last
Age*
Date of Birth*
Month
Day
Year
Sex*
- Male
- Female
School*
Grade 2024/2025 School Year*
Jersey Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Shorts Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Medical History*
Please provide any medical information necessary to share with your child’s coach. If no info to share, please type N/A.
Need to register a sibling?
- No
- Yes
PLAYER 2 INFORMATION
Player 2 Division*
Please choose the correct division. If the wrong division is chosen, players will be placed in the correct division unless given approval in advance.
Player's Name*
First Last
Age*
Date of Birth*
Month
Day
Year
Sex*
- Male
- Female
School*
Grade 2024/2025 School Year*
Jersey Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Shorts Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Medical History*
Please provide any medical information necessary to share with your child’s coach. If no info to share, please type N/A.
Need to register another sibling?
- No
- Yes
PLAYER 3 INFORMATION
Player 3 Division*
Please choose the correct division. If the wrong division is chosen, players will be placed in the correct division unless given approval in advance.
Player's Name*
First Last
Age*
Date of Birth*
Month
Day
Year
Sex*
- Male
- Female
School*
Grade 2024/2025 School Year*
Jersey Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Shorts Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Medical History*
Please provide any medical information necessary to share with your child’s coach. If no info to share, please type N/A.
Need to register one more sibling?
- No
- Yes
PLAYER 4 INFORMATION
Player 4 Division*
Please choose the correct division. If the wrong division is chosen, players will be placed in the correct division unless given approval in advance.
Player's Name*
First Last
Age*
Date of Birth*
Month
Day
Year
Sex*
- Male
- Female
School*
Grade 2024/2025 School Year*
Jersey Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Shorts Size*
Uniforms are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA
Medical History*
Please provide any medical information necessary to share with your child’s coach. If no info to share, please type N/A.
PARENT/GUARDIAN 1
Relationship*
Name of Parent/Guardian 1*
First Last
Phone*
Email*
Please ensure email address is correct as this email will be used for more information and notifications.
Enter Email Confirm Email
Is parent/guardian 1 interested in coaching?*
A discount of $15.00 will apply to head coach. Discounts are only given to head coaches that volunteer during the registration process.
Shirt Size*
Coach shirts are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA.
Volunteer adult coaches shall be responsible for adherence to the Warchiefs Code of Conduct. Volunteer adult coaches who violate Warchiefs Code of Conduct will be dismissed from coaching Warchiefs Sports and unable to return to any Warchiefs Sports Events. Volunteer adult coaches who violate Warchiefs Code of Conduct will be reported to the proper authorities for any illegal activities. VOLUNTEER ADULT COACHES: -will have a trustworthy relationship with youth players and provide a safe place for youth players to learn and grow. -will not use alcohol or drugs while working with youth players. -will maintain clear, appropriate, and professional boundaries with youth players. This includes NOT escorting players to the restroom. Players needing assistance in a restroom should be escorted by a parent/guardian. -will exercise discretion in having any physical contact with youth players. -will not engage in any type of physical, sexual, psychological, written and/or oral intimidation or harassment of youth players. -will hold other volunteer adult coaches accountable for maintaining Warchiefs Code of Conduct as well as high moral and ethical standards. They will take all reports of violations seriously and report any violation to the property authority following the reporting procedures provided. REPORTING PROCEDURES ALL instances of suspected violations to the Warchiefs Code of Conduct must be reported immediately to a Warchiefs Director. Warchiefs Sports strongly recommends the the following for instances of abuse and/or neglect: What To Do If You Suspect Child Abuse or Neglect: Call 855-4LA-KIDS (855-452-5437) 24 hours a day, 7 days a week to speak to a trained child welfare worker to report possible abuse and/or neglect. If known, provide: ▪ Name, address, age, sex, and race of child ▪ Nature, extent and cause of child’s injuries or endangered condition including any previously known or suspected abuse to the child or to the child’s siblings ▪ Name and address of child’s parent or caretaker ▪ Child’s family composition ▪ Names and ages of all other members of the child’s household ▪ Account of how this child came to the reporter’s attention ▪ Any explanation of the cause of the child’s injury or condition offered by the child, caretaker or any other person ▪ Any other information which the reporter believes might be important ▪ The report shall also name the person or persons who are thought to have caused or contributed to the child’s condition, if known, and the report shall contain the name of such person if he is named by the child. REMEMBER: Your report is a request for an investigation, not an accusation and information you share is confidential. By completing this form, I confirm I am volunteering to coach for the Warchiefs Sports Program. I agree to hold Warchiefs Sports and its employees and volunteers harmless from any and all liability. I take full responsibility for myself while participating in any and all practices and/or games related to Warchiefs Sports. I give permission to Warchiefs Sports, and/or parties designated by Warchiefs Sports to photograph and videotape my practices/games to be used in all forms of media for purposes of advertising, promoting and celebrating for no financial compensation. I hereby release Warchiefs Sports from any and all claims that may arise out of the use of the photographs, videotape and/or name of the person named. I acknowledge the risk to have contact with individuals who have been exposed to and/or have been diagnosed with a communicable disease. I knowingly and freely assume all risks, both known and unknown and assume full responsibility for my participation. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Warchiefs Sports, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsoring agencies, sponsors, advertisers, owners and lessors of the premises used to conduct the practices and games, with respect to all and injury, illness, disability, death, or loss of damage to person or property, whether arising from the negligence of the releasees or otherwise.
Consent*
I understand and agree to the Coach Code of Conduct & Release of Liability.
PARENT/GUARDIAN 2
Relationship*
Name of Parent/Guardian 2*
First Last
Phone*
Email*
Is parent/guardian 2 interested in coaching?*
A discount of $15.00 will apply to head coach. Discounts are only given to head coaches that volunteer during the registration process.
Shirt Size*
Coach shirts are not exchangeable. Sizing options available at RePlay Sports Monday-Thursday 9am-4pm and Friday 8am-12pm. 3545 NW Evangeline Thwy, Ste H, Carencro, LA.
Volunteer adult coaches shall be responsible for adherence to the Warchiefs Code of Conduct. Volunteer adult coaches who violate Warchiefs Code of Conduct will be dismissed from coaching Warchiefs Sports and unable to return to any Warchiefs Sports Events. Volunteer adult coaches who violate Warchiefs Code of Conduct will be reported to the proper authorities for any illegal activities. VOLUNTEER ADULT COACHES: -will have a trustworthy relationship with youth players and provide a safe place for youth players to learn and grow. -will not use alcohol or drugs while working with youth players. -will maintain clear, appropriate, and professional boundaries with youth players. This includes NOT escorting players to the restroom. Players needing assistance in a restroom should be escorted by a parent/guardian. -will exercise discretion in having any physical contact with youth players. -will not engage in any type of physical, sexual, psychological, written and/or oral intimidation or harassment of youth players. -will hold other volunteer adult coaches accountable for maintaining Warchiefs Code of Conduct as well as high moral and ethical standards. They will take all reports of violations seriously and report any violation to the property authority following the reporting procedures provided. REPORTING PROCEDURES ALL instances of suspected violations to the Warchiefs Code of Conduct must be reported immediately to a Warchiefs Director. Warchiefs Sports strongly recommends the the following for instances of abuse and/or neglect: What To Do If You Suspect Child Abuse or Neglect: Call 855-4LA-KIDS (855-452-5437) 24 hours a day, 7 days a week to speak to a trained child welfare worker to report possible abuse and/or neglect. If known, provide: ▪ Name, address, age, sex, and race of child ▪ Nature, extent and cause of child’s injuries or endangered condition including any previously known or suspected abuse to the child or to the child’s siblings ▪ Name and address of child’s parent or caretaker ▪ Child’s family composition ▪ Names and ages of all other members of the child’s household ▪ Account of how this child came to the reporter’s attention ▪ Any explanation of the cause of the child’s injury or condition offered by the child, caretaker or any other person ▪ Any other information which the reporter believes might be important ▪ The report shall also name the person or persons who are thought to have caused or contributed to the child’s condition, if known, and the report shall contain the name of such person if he is named by the child. REMEMBER: Your report is a request for an investigation, not an accusation and information you share is confidential. By completing this form, I confirm I am volunteering to coach for the Warchiefs Sports Program. I agree to hold Warchiefs Sports and its employees and volunteers harmless from any and all liability. I take full responsibility for myself while participating in any and all practices and/or games related to Warchiefs Sports. I give permission to Warchiefs Sports, and/or parties designated by Warchiefs Sports to photograph and videotape my practices/games to be used in all forms of media for purposes of advertising, promoting and celebrating for no financial compensation. I hereby release Warchiefs Sports from any and all claims that may arise out of the use of the photographs, videotape and/or name of the person named. I acknowledge the risk to have contact with individuals who have been exposed to and/or have been diagnosed with a communicable disease. I knowingly and freely assume all risks, both known and unknown and assume full responsibility for my participation. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Warchiefs Sports, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsoring agencies, sponsors, advertisers, owners and lessors of the premises used to conduct the practices and games, with respect to all and injury, illness, disability, death, or loss of damage to person or property, whether arising from the negligence of the releasees or otherwise.
Consent*
I understand and agree to the Coach Code of Conduct & Release of Liability.
NOTES
Please include any special requests or comments here!
OPTIONAL
MOUTHGUARD WITH STRAP Quantity
Mouthguards must be worn during all games.
Price: $5.00
STRAPLESS MOUTHGUARD Quantity
Mouthguards must be worn during all games.
Price: $5.00
MINI (SIZE 2) Custom Arrowhead Football Quantity
3 YEARS – PRE-K & KINDERGARTEN
Price: $26.00
PEE WEE (SIZE 5) Custom Arrowhead Baden Football Quantity
1ST/2ND GRADE – 5TH/6TH GRADE
Price: $36.00
JUNIOR (SIZE 6) Custom Arrowhead Baden Football Quantity
7TH/8TH GRADE
Price: $36.00
Football Face Glitter Quantity
Price: $7.00
COTTON T-SHIRT
Shirt will match player’s team colors.
COTTON T-SHIRT
Shirt will match player’s team colors.
DRI FIT T-SHIRT
Shirt will match player’s team colors.
DRI FIT T-SHIRT
Shirt will match player’s team colors.
AGREEMENT
I understand all registration fees are non refundable. I understand there are no refunds for the action photo digital package unless the game is cancelled by the league and can not be rescheduled. In the event, a reschedule is not possible, a full refund will be issued. I understand uniforms are not exchangeable and re orders are at my expense and not at the expense of Warchiefs Sports. I understand any optional items selected are non refundable.
By completing this registration, I confirm I am the legal guardian to above named child(ren) and give permission for my child(ren) to participate in the WARCHIEFS SPORTS Program. I agree to hold WARCHIEFS SPORTS and its volunteers harmless from any and all liability. I take full responsibility for my child(ren) while practicing or playing games. I agree to remain present with my child(ren) at all practices and games unless another parent has agreed to take responsibility for my child(ren) in my absence. I give permission to WARCHIEFS SPORTS, and/or parties designated by WARCHIEFS SPORTS to photograph and videotape my child(ren) to be used in all forms of media for purposes of advertising, promoting and celebrating for no financial compensation. I hereby release WARCHIEFS SPORTS from any and all claims that may arise out of the use of the photographs, videotape and/or name of the person named.
Please read the following information to help protect your child(ren) from a concussion or other serious brain injury. A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth. This fast movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging the brain cells. Help create safe situations for the team by working with their coach to teach ways to lower the chances of getting a concussion. Talk with your child(ren) about concussion. Discuss concerns and the importance of communication concussions immediately and recovery time. Explain the importance of following the safety rules and good sportsmanship. Many child(ren) with a concussion may feel better within a couple of weeks, some will have symptoms for months or longer. Speak with your child(ren)’s health care provider if their concussion symptoms do not go away or if they get worse after they return to their regular activities. Child(ren) who show or report one or more of the signs/symptoms listed below—or simply say they just “don’t feel right” after a bump, blow, or jolt to the head or body—may have a concussion or other serious brain injury. Signs Observed by Parents or Coaches -Appears dazed or stunned. -Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent. -Moves clumsily. -Answers questions slowly. -Loses consciousness (even briefly). -Shows mood, behavior, or personality changes. -Can’t recall events prior to or after a hit or fall. Symptoms Reported by Child(ren) -Headache or “pressure” in head. -Nausea or vomiting. -Balance problems or dizziness, or double or blurry vision. -Bothered by light or noise. -Feeling sluggish, hazy, foggy, or groggy. -Confusion, or concentration or memory problems. -Just not “feeling right,” or “feeling down. Although rare, a dangerous collection of blood (hematoma) may form on the brain after a bump, blow, or jolt to the head or body and can squeeze the brain against the skull. Call 9-1-1 or take your child to the emergency room immediately, if he or she shows one or more of these signs: -One pupil larger than the other. -Drowsiness or inability to wake up. -A headache that worsens and does not go away. -Slurred speech, weakness, numbness, or decreased coordination. -Repeated vomiting or nausea, convulsions or seizures (shaking or twitching). -Unusual behavior, increased confusion, restlessness, or agitation. -Loss of consciousness (passed out/knocked out). Even briefly. Children who continue to play while having concussion symptoms or who return to play too soon have a greater chance of getting another concussion. A repeat concussion that occurs while the brain is still healing from a previous injury can be very serious and have lifetime affects including death. If your child(ren) has a possible concussion: -Remove your child from play. -Keep your child out of play the day of the injury. -Your child should be seen by a health care provider and only return to play with permission from a health care provider who is experienced in evaluating for concussion. -Follow instructions from the health care provider on helping your child and share any necessary instructions with the coach. -Do not try to judge the severity of the injury yourself. Only a health care provider should assess a child for a possible concussion. Concussion signs and symptoms often show up soon after the injury, but you may not know how serious the concussion is at first, and some symptoms may not show up for hours or days. The brain needs time to heal after a concussion. A child’s return to regular activity should be a process that is carefully managed and monitored by a health care provider. To learn more, go to www.cdc.gov/HEADSUP By completing this registration, I agree I have read and understand all information above.
PLAYER CODE OF CONDUCT & RULES -Display good sportsmanship at all times (win or lose). -Always give your best effort. -Show respect for, be considerate of, and display a positive attitude towards teammates, coaches, officials, opposing players, and parents. No talking back and use manners at all time. -Cheer for one another. Do not criticize teammates; pick one another up when needed. We win or lose as a team. No blaming others or bragging. -Keep a positive attitude, forgive yourself, and learn from the experience. -No profanity. No fighting. Represent your team & coaches honorably at all times. -Trust that your coaches are putting you in the position that benefits the team as a whole and that they are making decisions for you and the team to excel. -No abuse of equipment will be tolerated. -Dress appropriately for all practices & games and show up with all equipment. PARENT & FAN CODE OF CONDUCT -Parents and fans are not permitted to heckle, harass, or use derogatory, profane, or vulgar remarks or gestures towards coaches, players, opposing teams and their fans, or officials. -Show good sportsmanship at all times. -Respect all players, coaches, fans, and officials. -Remain in fan areas and avoid player/coach areas unless you are needed for an emergency. Failure to follow the above code of conduct may result in: Ejection from the park. Suspension from games. Suspension for the duration of the season, multiple seasons, or any Warchiefs Sports sports/activities. By completing this registration, I agree I have read and understand all information above.
Consent*
I understand and agree to the Refund Policy, Release of Liability, Concussion Information & Waiver, and the Player, Parent/Guardian, Fan Code of Conduct.
MAILING ADDRESS*
Street Address City State / Province / Region ZIP / Postal Code
Late Registration Fee/Participant Quantity*
Price: $50.00
Processing Fee*
Price:
Total
$0.00

Arrowhead Flag Football Fall 2024 Registration (1)

PLAYER 1 INFORMATION

PLAYER 2 INFORMATION

PLAYER 3 INFORMATION

PLAYER 4 INFORMATION

PARENT/GUARDIAN 1

PARENT/GUARDIAN 2

NOTES

OPTIONAL

AGREEMENT