Belmont Football 2015
Player Registration Package
Summary and Deadlines for Costs/Cheques
** Please ensure that all cheques are made payable to School District 62 and note in the memo portion of the cheque what the cheque is for (Football Registration). In addition, we may ask that you provide cheques to secure raffle tickets issued to players – these cheques will NOT be cashed unless funds from ticket sales are not submitted.
1. For those that require assistance with the cost of the program please contact Langford Sport Assist at http://www.sportassist.ca/index.php?option=com_k2&view=item&layout=item&id=7 Another option for financial assistance in the 2014 calendar year is Kidsport. The Kidsport application is located at http://kidsportcanada.ca/chapters/bc/2014_applications/2014-ks_victoria_application.pdf
2. Registration fee - $450 (Mandatory)
a. The cost of registration is used to offset our field, travel, referee and other costs of running the program on an annual basis. The fee does not currently cover the programs annual operational expenses. Thus the need for fundraising to provide the shortfall as well as assist with capital purchases (jerseys, helmets, etc) and out of country travel.
b. Fees may be paid by postdated cheques but should be paid in full by December 30th. It is at the discretion of the parent to determine the timing and amount to postdate so that all registration fees are covered in full by September 30th.
c. The cheques (whether postdated or not) must be included with the registration package. If you are applying for Langford Sport Assist or Kidsport please note this on your registration and we will follow up with you prior to September 30t if funds have not been received by that time.
3. Gear Deposit (Mandatory) – $500 -NOT Cashed unless gear is not returned.
a. To gear up a player, including home and away jerseys, costs approximately $1,000 per player. A gear deposit will be required to ensure that gear is returned.
b. Any gear that needs to be replaced requires further fundraising by continuing parents and boosters.
c. Gear Deposits should be postdated to December 31, 2015. No gear deposits will be cashed until after the gear return date which is anticipated to be 1 week following the final game of the season. ALL gear MUST be returned cleaned. Your cheque must be provided when you submit your registration.
Please visit www.belmontfootball.ca for further details and updates on camps and schedules.
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2015 Football Player Registration Form
Belmont Secondary School
THIS SECTION TO BE FILLED IN BY STUDENT-USE INK-PRINT IN BLOCK LETTERS
NAME (LAST)______(FIRST)______
MAILING ADDRESS ______POSTAL CODE______
TELEPHONE______EMERGENCY PHONE______
STUDENT EMAIL: ______PARENT EMAIL:______
CARE CARD #______
DOCTOR: ______DOCTOR’S PHONE: (250)______
DATE OF BIRTH (MONTH)______(DAY)______(YEAR)______
Height _____ Weight _____ Position(O&D) ______Grade _____ Preferred No. ______
I HEREBY CERTIFY AND AGREE TO CARRY OUT FULLY ALL RULES AND REGULATIONS OF THE BRITISH COLUMBIA SECONDARY SCHOOLS FOOTBALL ASSOCIATION, SCHOOL DISTRICT 62 AND BELMONT SECONDARY SCHOOL. FURTHER, I PLEDGE TO NEVER INITIATE ANY FORM OF CONTACT WITH MY HELMET.
Student’s name Student’s signature
Date
WAIVER AGREEMENT: In consideration of this application under the auspices of Belmont Secondary School, School District #62, The British Columbia Secondary School Football Association, I do hereby for myself, parents or guardians, heirs, executors, relations, and administrators release and forever discharge Belmont Secondary School, School District #62, The British Columbia Secondary Schools Football Association, their officers, membership, coaches, staff members and anyone acting on their behalf from all manner of litigation, damage claims, or documents in law or in court writs/claims I may have or acquire by reason of personal injury to myself, loss or damage to myself or property which may occur during or by reason of my participation in games, travel, and team related events or practices under these jurisdictions.
THIS CERTIFICATE HAS BEEN ISSUED AT THE DISCRETION OF BELMONT SECONDARY SCHOOL AND MAY BE SUSPENDED BY THEM FOR CAUSE. MUST BE SIGNED BY A PARENT OR LEGAL GUARDIAN BEFORE A PLAYER CAN PARTICIPATE IN PRACTICES OR GAMES.
Parent’s name Parent’s signature
Date
BELMONT Football – Priorities, Team Policy and Contract
Priorities
1. Family
2. Academics
3. Football
4. Everything else
Bulldog Policies
1. I will think before I act. My actions should always be ones that will reflect positively onto myself, my family, my team and my school.
2. I am a student first; an athlete second. In order to stay eligible I must have maintained a good academic work ethic during the school year.
3. I will treat all people (teammates, coaches, teachers, opponents, etc.) with respect. The Belmont Football family values honesty, fair-play, and respects other people’s property and opinion.
4. I will be reliable and accountable. I understand that the expectation is for all players to be present (and on time). If I have to miss a practice I will communicate with the Coaching Staff in person, via cell or text before practice begins. I understand that missed practices will be considered by the staff when determining playing time.
5. I will be a team player: I understand that the team comes first. I also understand that I play a crucial role in the team’s success. Cultivating good relationships with my teammates, exhibiting a strong work ethic on a daily basis, and displaying positive attitude, even through adversity, are all elements that are directly related to the team’s success.
6. I will look after my health. It is my responsibility to report all injuries to the trainer before I go home. The proper responsible adults (doctors, trainer, parents, and/or senior coaches) will determine my status for practice or games.
7. I will use good judgement in my social life. Belmont has a strict policy when it comes to alcohol and drug use. Belmont Football adheres fully to this policy and strongly promotes its students to adopt a safe and healthy lifestyle. Belmont Football also reserves the right to consider behaviour and choices occurring outside school environment in determining the ability of a student-athlete to participate in team activities.
Player Contract
I have read the Belmont football policy. I understand that as a member of the Belmont Secondary School football team, I am held to a high standard of behavior both on and off the field, 24 hours a day, 365 days a year. I understand that playing football at Belmont is a privilege, not a right and that I can be removed from the team for failing to adhere to any of the above rules.
Player’s name Group/Coach
Player’s signature Date
“One play can win the game; and one player, any player, can make the difference between winning and losing. No one knows when the big play is coming up, so every player must do his best on every play.”
Parent signature Date
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