Sports Application Form

Sports Application Form

PROSPECT PARK RECREATION REGISTRATION
Child’s Name
DOB

Month Day Year
Date
Current Age:
Uniform Size

S M L XL
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mother’s name
Phone #
Email
example@example.com
Father’s name
Phone #
Email
example@example.com
Other Emergency Contact Name
Phone #
Child may leave without a parent at any time
or child must be picked up
Check if applicable

I as the parent/guardian of the registrant, a minor agrees that I and the registrant will abide by the rules Prospect Park Recreation Department an its affiliate organizations and sponsors. Recognizing the possibility of physical injury associated with physical activity and in consideration for the acceptance of the registrant. I herby release, dischargeand/or otherwise indemnify the Prospect Park Recreation Department, its affiliated organizations and associated personal including owners of the field and facilities utilized for the programs, against any claim by or on behalf of the registrant because of the registrant’s participation in in the programs.
Parent Signature
Date

Month Day Year
Date
Consent for Medical Treatment (Minor):

I as the parent/guardian of the above-named registrant, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or doctor of dentistry. This care may be given under whatever conditions are necessary to preserve life, limb, or wellbeing by dependent.
Parent Signature
Date

Month Day Year
Date
I would like to help by volunteering (circle one)

Coach Fundraising Parade
Prospect Park Recreation Department Code of Conduct:

This code applies to all Prospect Park Recreation Department activities, including practices, games, team events and actions while attending any Prospect Park Recreation Department events. The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and sex core principles: Trustworthiness, Respect, Responsibility, Fairness, Caring and Good Sportsmanship. The high’s potential of sports is achieved when competition reflects there six pillars.

I Will:
- Remember that children participate to have fun and the game is for the youth, not adults.
- Inform the coach of any physical disability or aliment that may affect the safety of my child or others.
- Learn with rules of the game and policies of the league.
- Along with my guests be a positive role model.
- Encourage sportsmanship.
- Encourage my child to treat others (players, coaches official and spectators) with respect.
- Encourage my child to always do their best.
- Encourage my child to play by the rules and accept the decisions made by those in charge.
- Respect (officials, coaches) and their authority during practices and games and speak to them clear of children.
- Understand the best place to watch the game is from the bleachers.
- Be on time for pick up from games and practices.
I WILL NOT:
- Force my child to participate in sports.
- Engage in any kind of sportsman like conduct with any official, coach, player, or parent such as but not limited to booing, taunting, refusing to shake hands or using profane language or gestures.
- Ridicule or yell at my child or other participants.
- Use alcohol, drugs, or smoke within the vicinity of the playing field.
- Coach my child from the bleachers, I understand that their coaches give of their time and if I choose, I can become active and volunteer.
- Leave my child unattended without notifying the coach.
Parent Signature
Date

Month Day Year
Date
CONDUCT SUBJECT TO DISCIPLINE

Examples of words or actions which constitute a violation of the code includes, but are not limited to:
- Making physical contact with any player, coach, official, league representative on the field or the viewing area.
- Taunting or threatening any player, coach, official, league representative or spectator.
- Going into opposing teams dugout or bench without permission for that team’s representative.
- Using profane or vulgar language or mannerisms.
- Going onto the playing field court.
- Throwing of any object onto field, into the players areas, or at another individual.
- Pounding or climbing fence.
- Defacing or damaging property belonging to any individual, team, association, or field.
- Being involved in any activity that would warrant the summoning of enforcement.
- Inciting any person to come involved in any of the above listed behaviors.
- All rules subject to change without prior notice.
Disciplinary Action for Violations of The Code of Conduct (Players)
1. Verbal warning form recreation director’s office.
2. Written warning from recreation director’s office.
3. Game suspension registrant must attend game suspend for (in full uniform if applicable).
4. Three game suspension.
5. Removal from team.
Parent consequences for violation of code of conduct.
1. Verbal warning from recreation director office.
2. Written warning from recreation director office.
3. Game suspension for child because of parent’s actions.
4. Parent season suspension.
Parent Signature
Date

Month Day Year
Date
Parent Print
Date

Month Day Year
Date
Players Signature
Players Print
Date

Month Day Year
Date
The Borough of Prospect Park Photo Release
SIGNATURES
Parent Signature
Print Child Name
Date

Month Day Year
Date
Should be Empty:

Sports Application Form

The Borough of Prospect Park Photo Release

SIGNATURES