Soccer Registration (2023)

Soccer Registration (2023)

St. Pat's Athletics participates in Catholic Youth Organization (CYO)
Soccer Teams

Varsity: Grades 7-8

Junior Varsity: Grades 4-6

Season - Aug 7 to Oct 21, 2023

Practices - 2 times a week (Mon & Thurs)

Games - Friday Evenings & Saturdays (generally)

Cost: $175.00

(cost includes jersey)
Athlete Information

For Parish and School Students
Student Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade in 2023-24 School Year:*
Gender:*

MaleFemale
School*

St. Patrick SchoolOther
Member of Parish*

St. Patrick, BrightonSt. Mary Magdalen, BrightonOther
Any medical conditions/situations we need to be aware of?
Medical Conditions, medications
Jersey Size *
Additional Jersey Info

Players are required to wear black shorts and black socks. These are purchased on an individual basis.
Student Athlete Code of Conduct

I will conduct myself in a Christian manner, exhibiting respect, responsibility, fair play, good sportsmanship, and will be a team player while representing St. Patrick Athletics Program. I will observe team rules while participating in St. Patrick's sanctioned athletic events, contests, practices and games. I understand that I am responsible for my uniforms and any other equipment belonging to St. Patrick's Athletics Program.
Athletic Code of Conduct:*

Student agrees to abide by Athletic Code of Conduct
Parent Information
Mother Name:*

First NameLast Name
Mother Phone*

Area CodePhone Number
Father Name:*

First NameLast Name
Father Phone*

Area CodePhone Number
Parent E-mail*
Secondary E-mail
example@example.com
Parent Code of Conduct

I will provide a good example of Christian behavior by supporting my child in his/her compliance with the Athletic Code of Conduct and will lead by example in teaching sportsmanlike behavior.
Parent Code of Conduct:*

I/We agree to abide by Parent Code of Conduct
Medical Alerts and Waiver of Liability and Authorization for Emergency Medical Care
I/We hereby authorize the principal, or his/her designee, athletic director, coach or sponsor in attendance at any St. Patrick Athletics contest or event to select, secure and consent to necessary medical attention for my child resulting from injury, illness or accident requiring medical care while I/We are not in attendance. I/We hereby release St. Patrick Parish and School and such person from any and all liability on account of such selection or authorization and for any and all damages which may occur on account thereof.
Parent(s) or legal guardian of above student must consent to Waiver of Liability and Authorization for Emergency Medical Care in order for his/her child to participate in St. Patrick Athletic Program.
Medical Waiver of Liability and Authorization for Emergency Medical Care:*

I/We agree to waive liability and authorize emergency medical care for our child as stated in the above paragraph.
Assumption of Risk

In consideration of my child being allowed to participate in this sport, I hereby agree on behalf of myself and my child, to release St Patrick School and/or Parish, the Roman Catholic (Arch)diocese of Detroit and Lansing, and any and all affiliated organizations, their employees, agents and representatives (Releasees) from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the sport.

In the event this release on behalf of myself and/or my child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the sport. This release of indemnification does not apply to claims for intentional misconduct or gross negligence; nor does this release or indemnification apply to the extent of commercial insurance coverage for any claim, but this Release or Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim.
Assumption of Risk*

I am the parent or legal guardian of the above named student and have read the above and recognize the risk in participation and injury. Insurance policy information is below:
Name of Insurance Company*
Policy/Group #*
Sports Physicals *Important*
During this time, physical safety is of the utmost importance. All athletes must have a sports physical dated after April 15, 2023. The physical form must be turned in no later than the first evaluation in order for the athlete to participate.

The Sports Physical form can be mailed to St. Patrick School, 1001 Charles Orndorf Drive, Brighton, MI 48116 via U.S. Mail or electronically (athletics1@stpatschool.org)

*Athletes will NOT be allowed to participate without a physical*

LINK TO PHYSICAL FORM
Sports Physical Agreement: *

I agree to turn in my child's sports physical (dated after April 15, 2023) BEFORE the evaluations/practices begin or my child will not be able to participate.
CYO Sports Photo Approval

I hereby grant the Catholic Youth Organization of the Archdiocese of Detroit permission to use photos or videos of myself and/or child taken during a CYO Athletic/Agency event. In addition, I realize photos taken may be published on our Facebook pages, newsletters, websites, etc.
I agree to allow CYO and St. Patrick's Athletic Program to use my child's photo or video as indicated above:*

YesNo
Parent Opportunities
I am a parent interested in helping:

CoachAssistant Coach
Soccer Registration Fee

Soccer Fee: $175.00 includes jersey