2015 PLAYER REGISTRATION SUMMARY Player Name: ______________________________________ Date of Birth: _______________ Player Weight: ___ Players 2012 SPW Team: ________________ 2014 Division: Midget Jr. Midget Pee Wee Jr. Pee Wee Mighty Mite Tiny Mite Flag Cheer Equipment Sizes: Helmet _________ Shoulder Pads __________ Game Pants _________ Game Jersey ____ PARENTAL DISCLOSURE & ACKNOWLEDGEMENT By signing below, the parent/guardian of the player acknowledges and consents to the following rules and policies of Scottsdale Pop Warner and further acknowledges these terms and conditions, along with all other required documents, constitute a legally binding agreement between the Parent/Guardian, the Player, and Scottsdale Pop Warner: 1. All registration fees and other charges are non-refundable. 2. Scottsdale Pop Warner will provide each tackle football player with a helmet, shoulder pads, leg pads and game uniform (jersey & pants). Players are required to provide their own practice uniform consisting of a white football jersey, white football pants, cleats, and mouth guard. 3. All equipment furnished by Scottsdale Pop Warner is and remains the exclusive property of the League. Failure to return all equipment at the end of the season (not later than 11-15-14) will result in a charge of $250, which the parent/guardian agrees to pay to Scottsdale Pop Warner. 4. Players are expected to attend all practices, team meetings and games. Games will be scheduled on holiday/fall break weekends. Failure to attend team events will result in reduced playing time or suspension. 5. Players, parents and coaches will be held to highest standards of sportsmanship and conduct. Failure to comply with League rules and codes of conduct will result in reduced playing time or suspension from the league. 6. At the present time player certification is scheduled for August 9 & 16, although these dates are subject to change. All players must be in attendance. Failure to attend certification, provide league required information, or be certified in an age/weight bracket will result in an inability to participate in league play. 7. The Board or Head Coach of each team reserves the right to reduce or suspend a player from participation in practices and/or games based upon injury or player/parent conduct. 8. Scottsdale Pop Warner reserves the right to assign a player to any team or division, based upon the player’s age, weight and/or team personnel allocations needs. 9. Scottsdale Pop Warner does not guarantee that a player will be assigned to any specific team or coach. 10. Arizona Pop Warner is implementing a Division 1, 2 and 3 structure for the 2014 season. Scottsdale Pop Warner and Arizona Pop Warner reserve the right and shall have the sole discretion in assigning teams to a particular division. 11. Scottsdale Pop Warner does not and will not guarantee any particular practice field and the field locations may be different than the previous year. Players will not be assigned or re-assigned to a particular team/field based upon the player’s home address and proximity to any particular practice field. 12. Scottsdale Pop Warner home games will be played at Desert Mountain High School with away games scheduled at various other locations, including as far away as Queen Creek. Games will begin as early as 8:00 AM with players arriving as early as 6:30 AM, including away games. 13. ) Rr1tA113 lDyHIs1SrRBIBIRQ 161R2tsGDl113 RS1WDUr1IIHIM1TAe1UgAt1tR, 1but1sADll1 not be required to, have each tackle player over the age of 11 complete a baseline concussion test, by a medical professional at the selection of Scottsdale Pop Warner and/or Arizona Pop Warner. An additional charge of $25 may be assessed for player testing. Signature of Parent/Guardian:League Officer By: D a t e : [This Printed Name: area for Scottsdale Pop Warner Use Only] 2014 Player Fees & Charges: Flag Football Registration Fee $ Tackle Football Registration Fee $ SPW Field Assessment $50.00 Cheer Registration Fee $ Voluntary Contribution $ ________ (Scottsdale Pop Warner is a 501c3 non-profit organization and your contribution may be tax deductible) Family Discount <$ _____ > ($25/child for each additional child @ same registration) Total Fees $ _______ Items submitted, accepted and approved at registration (Note any missing items): ______ Player Photo ______ Weight Verification ______ Birth Certificate ______ Report Card _____ Player Contract and Parental Consent Form ______Player Physical Form ______ Volunteer Application _____ Application of Scholarship/Waiver of Fees Approved by: Date:
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