2020 Football Registration Child's Full Name*Date of Birth* Date Format: MM slash DD slash YYYY Age (as of July 31, 2020)*Did Child Play Last Year*YesNoHas The Child Ever Played?*YesNoIf Yes, For Who?Elementary School District*School Currently Attending*Parent(s) NameParents Phone*Additional Parents PhoneParents Email* Additional Parents Email Street Address*City, State, Zip Code*Are there any physical conditions that would restrict the full participation of your child in the listed Activity?*YesNoExplainChild's T-Shirt Size*Child's Shorts Size*Emergency Contact InformationEmergency Contact*Phone*RelationshipCommittee Sign-Up SheetPlease check on which you would like to sign up for Select All Fundraising (including car washes and bake sales) Snacks including Camp) Pep rally Competition (signs and organization) Concession Spirit wear Powder Puff game Homecoming Dance Homecoming Game Homecoming Football Gifts Banquet Salem Athletic Association Rules All fees are expected at time of registration. No child will practice or play until fees have been paid or arrangements have been made & kept with the Director and Treasurer. Registration forms from players who have not paid all fees from previous participation in any SCAA sport will not be accepted until fees are paid or other arrangements made. Any returned checks will result in poor membership standing and will make children ineligible to play or practice until said check has been cleared. PARENTS AEE RESPONSIBLE FOR THE CONSTANT SUPERVISION of their children during any sports activities. Your child MUST have a responsible adult present at practices or games. Uniforms and equipment MUST be returned promptly at the end of the season. Arrangements will be made by SCAA coaches/directors as to their return. Deposit checks will be held by the association to ensure the timely return of sports equipment. Uniforms and equipment not returned by requested date will result in checks being deposited to cover the loss of such items. Volunteers are the backbone of this Association and are always needed. Let us know if you are interested in volunteering for coaching or team mom etc. Pictures may be taken of children at SCAA events and may be posted on the SCAA website or social media pages. I understand and agree to the Code of Conduct Agreement Please Initial Below if you have read through each lineYour Initials*Social Media Policy Due to ever increasing social media sites, we are implementing a Social Media Policy for all Salem Church Athletic Association athletes, parents, coaches and staff. Social media can be a great tool for communication as well as a place to highlight pictures, videos, post positive comments and offer motivation for the teams and athletes. However, social media also has a darker side that can be used to promote poor sportsmanship and an outlet for internet bullying. We as an association are making all efforts to stop any negative social media posts. As a member of Salem Church Athletic Association, all posts to any social media site involving Salem Church Athletic Association, members or staff must be positive. No member, staff or parent may post negative videos, pictures, statuses or comments that involve any SCAA athlete, staff member, or fellow parents to any social media site. Any post that are detrimental to the Salem Church Athletic Association will also not be allowed. Please remember that all posts are permanent and instant! If you feel that you are about to post something negative, please take a moment to think about what image you are putting out there for the world to see! Posting to social media in the exact same as saying it out loud! Be responsible! Athletic Pledge* I Agree I pledge to keep all social media post positive regarding any Salem Church Athletic Association athlete, coach, staff person or parent. I pledge to never post any mean or unsportsmanlike comments, pictures or videos about my teammates, coaches or parents. I understand that if I do any of these things, my parents and I will be called in for a meeting and I must delete the post/picture/video. I understand that if this behavior continues I will be suspended from practice and may be removed from my team. Parent Pledge* I Agree I pledge to keep all social media post positive regarding any Salem Church Athletic Association athlete, coach, staff person or parent. I pledge to never post any mean or unsportsmanlike comments, pictures or videos about my teammates, coaches or parents. I understand that if I do any of these things, my parents and I will be called in for a meeting and I must delete the post/picture/video. I understand that if this behavior continues I will be suspended from practice and may be removed from my team. Chesterfield County Parks and Recreation Code of Conduct The Chesterfield County Parks and Recreation Advisory Commission has adopted the following code of conduct as a result of its concerns for good sportsmanship in cosponsored youth activities. Youth sports can be used as an opportunity for young people to learn how to engage in healthy competition while maintaining respect for their opponents. All parties to athletic competitions should adhere to the highest standards of positive support for the contestants. By participating in Chesterfield County Youth Sport Programs, all parties must abide by the Code of Conduct. Violations may result in the loss of privileges at county facilities. I (and my guests) will be a positive role model for my children and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or sporting event. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player or parent, such as booing and taunting, refusing to shake hands or using profane language or gestures. I will respect the officials and their authority. I will refrain from questioning, discussing or confronting coaches during the game, and will take time to speak with the officials or coaches at an agreed upon time and place. I will remember that children participate to have fun and that the game is for the youth, not the adults. I will demand a sports environment for my child that is free from drugs and alcohol and will refrain from their use at all youth sports events. I realize that the purpose of my attendance is to observe a contest and support recreation activities, not a license to verbally assault others or be generally obnoxious. I will respect the athletic facility in which I am visiting and will not damage or deface park or school property. I have read and understand the code of conduct and consent to abide by all listed terms. Insurance InformationIs your child covered by an insurance policy?YesNoName of Insurance CompanyPolicy NumberMailing AddressCityStateZipName of SubscriberRelationship of ParticipantBirth Certificate You can either upload a PDF or simply take a picture of the document and upload it!Copy of your Birth CertificateIf you do not upload, please provide one at In-Person Registration.Registration Fees Flag Registration Price: $150.00 Quantity: Please enter the number of players you're registering for flag footballTackle Registration Price: $200.00 Quantity: Please enter the number of players you're registering for tackle footballTotal $0.00 Referral: How did you hear about us?That's It, You Are All Done! Your Signature (E-Signature):*Date:* Date Format: MM slash DD slash YYYY Please Read before Hitting Submit After you hit the submit button, please wait for the page to redirect to PayPal. Once you are on PayPal you can either use your PayPal account or use your Debit/Credit Card Once this is done, you will be redirected back to the site, or you can simply sign off! Also, Check your email, you will see the assign documents for which you just filled out. Please keep these for your records.