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2024 Player Registration Form
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
*
Email:
Gender:
M
F
*
Grade in Fall 2024:
K
1
2
3
4
5
6
9
10
11
12
*
Team:
Tackle 3rd/4th Grade
Tackle 5th/6th Grade
Flag K - 2nd Grade
PARENT/GUARDIAN #1
Firstname:
Lastname:
EMail:
Home Phone:
Work Phone:
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
Insurance Carrier:
Policy #:
CODE OF CONDUCT
Youth sports programs play an important role in promoting the physical, social, and emotional development of children. It is therefore essential for parents, coaches, and players to encourage youth athletes to embrace the values of good sportsmanship as well as good citizenship. Moreover, adults involved in youth sports events should be role models of good sportsmanship and good citizenship and should lead by example by demonstrating fairness, respect, and self-control.
I recognize that being a member of the community carries with it responsibilities and rewards, and that as a member, I must not only embrace those responsibilities, but also conduct myself both on and off the playing field in a way that exhibits respect for others and myself. I therefore resolve to conduct myself with dignity as a citizen of the community, recognizing and accepting that I
- Must accept accountability for my behavior and its outcomes.
- Must honor my obligations and promises.
- Must exercise self-control.
- Must be willing to be fair with others in my dealings on and off the playing field.
- Must take pride in my accomplishments and myself but never at the expense of demeaning another person or group.
- Must respect the efforts of others.
- Must respect authority.
- Must play by the spirit, not just the letter, of the rules of the game and the rules of life.
- Must strive to make my community - whether that be the team on which I play or the community in which I live - better because of my contributions as a member and as a citizen.
I pledge to be responsible for my words and actions while attending, coaching, or participating in a youth sports program and shall conform my behavior to the following code of conduct:
- I will not engage in unsportsmanlike conduct with any coach, parent, participant, official, or any other attendee.
- I will not engage in any behavior that would endanger the health, safety, or well being of any coach, parent, participant, official, or any other attendee.
- I will not use drugs or alcohol while at a youth sports event and will not attend, coach, officiate, or participate in a youth sports event while under the influence of drugs or alcohol.
- I will not engage in the use of profanity.
- I will treat any coach, parent, participant, official, or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation, or ability.
- I will not engage in verbal or physical threats or abuse aimed at any coach, parent, participant, official, or any other attendee.
- I will not initiate a fight or scuffle with any coach, parent, participant, official, or any other attendee.
I hereby agree that if I fail to conform my conduct to the foregoing while attending, coaching, or participating in a youth sports event I will be subject to disciplinary action, including but not limited to the following in any order or combination:
- Verbal warning issued by a league or association official.
- Written warning issued by a league or association official authorized to do so.
- Suspension or immediate ejection from a youth sports event issued by a league or association official who is authorized to do so.
- Suspension from multiple youth sports events issued by a league or association official who is authorized to do so.
- Season suspension or multiple season suspension issued by a league or association official who is authorized to do so.
All participants are expected to attend all scheduled practices and games, and to arrive and be picked up on time. It is the participant?s or parent?s responsibility to notify the head coach of any practice or games a participant will be unable to attend. Any missed practices or games without the coach?s approval will be considered unexcused absences. Excused absence are illness, school related functions, doctor appointments, religion classes, and any other circumstances that come up that have been approved by the head coach. Three unexcused absences may result in the participant being permanently removed from the roster. This decision is made by the Board of Directors, the respective Director, and/or the head coach.
Parents should address any team related issues or concerns directly to the head coach after a practice or a game. Both parents and coaches should refrain from discussing team related concerns in front of participants. Parents who are unable to resolve their concerns by dealing with the head coach should bring their concerns to the Football Director or President. Please remember that this association is made up of volunteers who should be commended for their efforts and never chastised for where they fall short. Working together as coaches, parents, and board members, we can make this association very successful, an association of which both parents and children can be proud.
I/we agree with the above Code of Conduct
*
*
Parent/Guardian Signature:
*
Player Signature:
ANTI-BULLYING POLICY
The Goffstown Junior Grizzlies and all its Teams & Associations believe that all participants have a right to a safe and healthy team environment. The administrators, coaches, participants and community have an obligation to promote mutual respect, tolerance, and acceptance.
The Goffstown Junior Grizzlies and all its Teams & Associations will not tolerate behavior that infringes on the safety of any participant. A participant shall not intimidate, harass, or bully another participant through words or actions. Such behavior includes: direct physical contact, such as hitting or shoving; verbal assaults, such as teasing or name-calling; and social isolation or manipulation.
The Goffstown Junior Grizzlies and all its Teams & Associations expects administrators, coaches and/or participants to immediately report incidents of bullying to a coach, team manager, league administration, board of directors or designee. Coaches who witness such acts take immediate steps to intervene when safe to do so. Each complaint of bullying should be promptly investigated. This policy applies to participants on and off the field, while traveling to and from games and or practices and at league/team/conference sponsored activities.
To ensure bullying does not occur, the Goffstown Junior Grizzlies and all its Teams & Associations cultivate acceptance and understanding in all participants and coaches to build each organization's capacity to maintain a safe and healthy team environment.
If I fail to confirm to the Anti-Bullying Guidelines I will be subject to disciplinary action, including but not limited to the following in any order or combination:
- Any participant who engages in bullying may be subject to disciplinary action up to and including suspension from their respective team and or squad.
- Participants are expected to immediately report incidents of bullying to the coach, team manager or designee.
- Participants can rely on Goffstown Junior Grizzlies to promptly investigate each complaint of bullying in a thorough and confidential manner.
- If the complainant participant or the parent of the participant feels that appropriate resolution of the investigation or complaint has not been reached, the participant or the parent of the participant should contact the organizations board of directors. The organization prohibits retaliatory behavior against any complainant or any participant in the complaint process.
I/we agree with the above Anti-Bullying Policies
*
*
Parent/Guardian Signature:
*
Player Signature:
NORTHEAST JUNIOR HIGH FOOTBALL LEAGUE/GOFFSTOWN JUNIOR GRIZZLIES RELEASE FROM LIABILITY
In consideration of our said child being permitted to participate in football activities under the oversight of the Northeast Junior High Football League and the Goffstown Junior Grizzlies and recognizing that football is an inherently dangerous activity, do hereby release, waive and discharge for ourselves and on behalf of said child, ours/his/her heirs, legal representatives, and assigns, the Northeast Junior High Football League and the Goffstown Junior Grizzlies, its directors, officers, members, sponsors and coaches from all liability for any and all loss or damage, and any claim or damages resulting therefore, on account of injury to or death of our said child, whether cause by the negligence or otherwise while our said child is for any reason participating in the activities of the Northeast Junior High Football League and the Goffstown Junior Grizzlies.
I/we agree with the above Release of liability
*
*
Parent/Guardian Signature:
WAIVER/RELEASE/ASSUMPTION OF RISK FOR COMMUNICABLE DISEASES INCLUDING COVID-19
In consideration of being allowed to participate in programs, related events, or activities offered by the Goffstown Jr. Grizzlies including access to the fields while in use, the undersigned acknowledges, appreciates, understands, and agrees that:
1. Participation includes possible exposure to, and illness from, infectious diseases including but not limited to MRSA, influenza, and COVID-19 (collectively ?Infectious Diseases?). While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;
2. The Goffstown Jr. Grizzlies cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading Infectious Diseases while participating in the Goffstown Jr. Grizzlies programs or accessing its premises or fields. It is not possible to prevent against the presence of Infectious Diseases. Therefore, if you choose to utilize services or enter into Goffstown Jr. Grizzlies Clinics or practices, you may be exposing yourself to Infectious Diseases and or increasing your risk of contracting or spreading Infectious Diseases;
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against Infectious Diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation, and bring such to the attention of the nearest Goffstown Jr. Grizzlies official immediately;
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY Goffstown Jr. Grizzlies, their officers, directors, officials, agents, employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the programs (?RELEASEES?), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law;
5. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS PERTAINING TO INFECTIOUS DISEASES, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and
6. I certify if at any time following the execution of this release, myself or my child(ren) (1) experience any symptoms of COVID-19, (2) have come in contact with any individual who tested positive for COVID-19, (3) have tested positive for COVID-19, or (4) have traveled outside the United States within the last 14 days, that I and or my child(ren) will abstain from participating in all Goffstown Jr. Grizzlies activities and will not under any circumstance travel to the premises for at least Thirty (30) days. Furthermore, I certify that if myself or my child(ren) have been diagnosed with COVID-19 that I will not return to the premises until after Thirty (30) days have elapsed from diagnosis and myself or my child(ren) have tested negative for COVID-19.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child?s/ward?s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
I HAVE READ THIS WAIVER/RELEASE/ASSUMPTION OF RISK FOR COMMUNICABLE DISEASES INCLUDING COVID-19, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *
I/we agree with the above Covid-19 Waiver
*
*
Parent/Guardian Signature:
VOLUNTEERING
To run this organization takes a great number of volunteers. Each family is required to volunteer during the season. The Team Moms will communicate the volunteer jobs available. This will differ from team to team based on the number of coaches from the families and the number of players on the team. Please be respectful when asked to volunteer.
I/we agree with the above Volunteering requirements
*
*
Parent/Guardian Signature:
*
Registration Payment:
Minimum Registration Fee(Non-Refundable) $25
Flag Registration Fee $100
Tackle Registration Fee $175
* indicates required fields