Big Walnut Soccer Association***Spring2018

TWO WAYS TO REGISTER:

Applications can be mailed to the address below and must be postmarked by Wednesday, January 31, 2018 to avoid a late fee. You may also register online at Online applications must be submitted by Wednesday, January 31, 2018to avoid a late fee. Applications submitted/postmarked by the dates shown above are guaranteed placement on a team. Applications submitted/postmarked after the dates shown above must include a $10.00 late fee per applicationand your child will be placed if there is still space available on a team. If we are unable to place your child after the deadline, we will refund your payment. It is very important that we receive all applications in a timely manner so we may begin our season as scheduled! If payment is a problem at the time of registration,you must email and we will work with you on a payment arrangement. Those needing special assistance must contact us first, then MAIL the application to BWSA, and it must be received by the deadline of 1/31.

You must complete a separate application for each child in your family. Check the box indicating your preference for either the Recreational League or the Middle School League and include the required fee for that league. These fees cover the Spring 2018season only.

Recreational League Fee (Pre-School*,Kindergarten, Grades 1-6) is $90.00 per child if received by 1/31 and $100.00 per child if received after 1/31. (A family maximum fee of $240.00 will be charged for the recreational program ONLY IF the applications are received by 1/31. The family maximum does not apply to the Middle School League or the Select League.)

Middle School League(Grades7 8) is $100.00 per child if received by 1/31 and $110.00 per child if received after 1/31.

If applying by mail, send your Application Form to:BWSA, PO Box164, Sunbury, OH 43074

Make checks payable to BWSA. Returned checks will be assessed a $35 fee. We will not offer refunds after February 28,2018.

HOW TEAMS ARE FORMED

Recreational League:New players registering for Spring 2018 will be placed on an existing team that needs players or new teams will be formed as necessary. Typically, children returning to play in the Spring 2018 season will remain on the same team they were assigned to Fall2017. These players must still complete an application and pay the appropriate fee for Spring 2018. Teams are re-drawn each fall. New fall teams are drawn randomly and then leveled by experience.

SPRING 2018 RECREATIONAL AGE DIVISIONS (PreK**, Kindergarten, and Grades 1-6)

Teams will be formed by grade. Pre-K and Middle School are co-ed for the Sping 2018 season.

Pre-school children** must turn 4 by May 1st,2018 to be eligible for the Spring 2018 season.

All children in Pre-School, Kindergarten, and Grades 1 through the 6 must participate in the Recreational League. Some age groups of the recreational league may play against other recreational teams in our neighboring communities.
All children in the 7thand 8thgrade must participate in the Middle School League.

SPRING 2018 MIDDLE SCHOOL LEAGUE(Grades 7-8)(Note: Not affiliated with the Big Walnut Middle School)

The MSL teams are a traveling recreational program consisting of teams that play against other MSLteams in our neighboring communities. The MSL is open to any child currently in the 7thor 8thgrade provided they are not playing on a select team. Once a team is formed, we try to keep the team togetherfor the remainder of the time they are in the Middle School program.

WHERE AND WHEN DO WE PLAY

Practices usually begin in mid-March depending on the weather and how quickly we can find coaches and set teams. Historically, finding enough coaches has been an issue. Games typically begin the first Saturday in Apriland should conclude by the end of May. Most games will be played on Saturdays but there could be some Sunday and/or weeknight games during the season. Saturday games will begin between 9:00 am and 4:00 pm. See note above.* Games for the younger age groups (PreK through 4thgrade) and home games for the remaining age groups are typically played at Hylen Souders Elementary School, 4121 Miller-Paul Road, Galena. Other games (Grades 5 – 6and MSL) could be played in our neighboring communities. Games for the MSL are scheduled by the MSSA office and are normally played on Saturdays and on Wednesday or Thursday evenings.

UNIFORMS AND EQUIPMENT

Returning players from Fall 2017typically remain on the same team they were assigned to last Fall and will use the same jersey they were issued for the Fall 2017 season. New players that did not play Fall 2017 will receive a jersey included with your application fee. If you are a returning player from Fall 2017 and have outgrown or lost your jersey, please order a new jersey and include an additional $15.00 replacement fee.**** All players must supply their own shorts, socks, shoes, soccer ball and required shin guards. Shoes may be soccer, baseball, or an all-purpose type of cleat. Metal cleats are not permitted. Tennis shoes, whilepermitted for the Recreational League, are not recommended. Tennis shoes are notpermitted for the MSL.

***Distribution of this information does not necessarily mean endorsement or support by The Big Walnut Local School District but is provided as a public service. ** A complete handbook is available on our website under the Coaches Tab. All participants must agree to abide by the rules, regulations, and philosophy of BWSA listed in the Handbook as a condition of participation.

BWSA SPRING2018 - PLEASE MAIL BY January 31st TO ASSURE TEAM PLACEMENT

Box 164, Sunbury, OH 43074

Child's Name Primary Phone Number ( )

Address City Zip

Sex Date of Birth / / Age School Grade in 2017-18

Father/Guardian Mother/Guardian

Alternate phone # Alternate phone #

(Alternate phone numbers are for emergency only –can be cell, work, or other contact)
If email address is a reliable way to contact you with league information and changes, please legibly print the email address(es) below.

Primary Email address ______Secondary Email address ______

PLAYERS SHIRT SIZE – Please see note below before selecting**** (Please check one)

YOUTH SMALL YOUTH MED YOUTH LARGE
ADULT SMALL ADULT MED ADULT LARGE ADULT XL

****Returning players from Fall 2017 will use the same jersey issued to them last fall - Returning players should order ONLY if you need a replacement jersey and must include a $15.00 replacement fee. Registering players that did NOT play Fall 2017 will receive a jersey included in your application fee- you should NOT include an additional $15.00 fee

WE NEED YOUR HELP!BWSA was founded by and is run by Parent Volunteers. Please let us know where you would like to help.

List the NAME of the person volunteering on the line provided. Thank you!

I am volunteering to be the Head Coach of my child’s team. My name is:

Head Coaches only - List a preferred team name and color for your team:

I am volunteering to be an Assistant Coach on my child’s team. My name is:

I would like to be an assistant with this Head Coach if possible:

If you would like to be aTeam Sponsor, Committee Member, or BWSA Board Member, email Todd Yarrington:

If someone in your family is interested in being a referee please call or email Rich Zumpone at: , 614-561-9128.

THE FOLLOWING AGREEMENT MUST BE READ AND SIGNED (Unsigned registrations will be returned to you)

ACKNOWLEDGEMENT AND RELEASE

Big Walnut Soccer, Inc. hereafter referred to as BWSA. I acknowledge a copy of the league rules and regulations are available on the BWSA Website and it is my responsibility to read and understand those rules and regulations as a requirement of participation in the league. I further acknowledge and agree that any participant in the league who does not abide by the rules and regulations promulgated by BWSA is subject to immediate dismissal from the league without reimbursement or recourse. I hereby release and discharge BWSA, its staff, officers, employees, agents and affiliated entities, from all liability or causes of action arising out of, or in connection with, the dismissal of my child from the league for violation of any rules and regulations promulgated by BWSA.

PHOTO RELEASE

As part of our agreements with certain sponsors we may be asked to submit action and posed photos of individuals and teams. On occasion, the sponsor may send a representative to take photos at games. By your child’s participation you agree to grant to BWSA and its authorized representatives permission to record on photography film and/or video, pictures of that participation. I further agree that any or all the material photographed may be used, in any form, as part of any future publications, brochure, or other printed materials used to promote BWSA and/or sponsors, and further that such use shall be without payment of fees, royalties, special credit or other compensation.

LIABILITY WAIVER & RELEASE

Recognizing the possibility of physical injury associated with soccer and for the BWSA accepting the registrant for its soccer activities, I hereby release, discharge and otherwise indemnify the BWSA, its staff, officers, employees, agents, coaches, referees, sponsors, affiliated entities, and associated personnel, including the owners of the fields and facilities utilized by the BWSA from any and all liability and causes of action rising out of, or in connection with, my child’s participation in the soccer league, including but not limited to any claims for personal injuries and any claims based upon any negligence of, or any acts or omissions of, BWSA, its staff, officers, employees, agents, coaches, referees, sponsors, affiliated entities, and associated personnel including the owners of the fields and facilities utilized by the BWSA. I agree that a Parent or Legal guardian of my child will attend all BWSA League functions that my child participates in. If a Parent or Legal Guardian is not present at a BWSA League function, I hereby authorize BWSA and its staff to act on behalf of my child according to its best judgment in any emergency requiring medical attention, including in relation to obtaining any medical or hospital treatment. I hereby release and discharge BWSA, its staff, officers, employees, agents, coaches, referees, sponsors, affiliated entities, and associated personnel, including the owners of the fields and facilities utilized by the BWSA from any and all liability or causes of action arising out of, or in connection with, any such actions by BWSA in any emergency requiring medical attention, including but not limited to any an all liability or causes of action based upon the negligence of, or any acts or omissions of, BWSA, its staff, officers, employees, agents, coaches, referees, sponsors, affiliated entities, and associated personnel including the owners of the fields and facilities utilized by the BWSA.

I have read and reviewed this APPLICATION FORM, including the ACKNOWLEDGMENT AND RELEASE and the LIABILITY WAIVER AND RELEASE and I have had the opportunity to ask any questions that I might have regarding the same. I expressly agree to the terms and provisions of this APPLICATION FORM, including the ACKNOWLEDGMENT AND RELEASE the LIABILITY WAIVER AND RELEASE and the OHIO DEPT OF HEALTH INFORMATION REGARDING CONCUSSIONS above.

X Date

SIGNATURE OF PARENT OR LEGAL GUARDIAN (APPLICATION MUST BE SIGNED PRIOR TO PARTICIPATION IN BWSA)