FOOTBALL NEW BRUNSWICK
                               ID CAMP REGISTRATION FORM:  U15 /U17
                         BRING THIS FORM AND PAYMENT TO ID CAMP

 

 

 

NAME

 

 

BIRTH DATE

  HEIGHT

AGE ON JULY 31, 2009

 

WEIGHT

CIRCLE PROGRAM

U15 (13 or 14 on July 31/09)

U17 (15 or 16 on July 31/09)

PHONE #

 

E-MAIL

 

 

ADDRESS

 

 

PARENTS NAMES

 

 

HEALTH CARE #

 

 

 

POSITION

Trying out for

 

 

 

CURRENT COACH

 

 

 

CURRENT TEAM

 

 

MEDICAL CONDITIONS

 

 

Football N.B. Member     Yes     No  (If you played high school in 2008 you are NOT a member)

Fee Paid$25 Football N.B. MEMBERS,       $30.00 NON Football N.B. MEMBERS

       

 RELEASE WAIVER

I authorize my child to participate in the Football NB Training Camp. I hereby indemnify, hold harmless and release Football N.B., coaches and participants in the camp for and from any and all liability for all claims, demands losses, damage and costs including reasonable attorney’s fees, that arise out of or in connection with any personal injury, property damage, and or other loss suffered the child in connection with the child participating in the Football NB Camp. I acknowledge that I am responsible for any and all medical expenses due to the child illness or injury in connection to the Football NB Camp

I grant permission to the staff to provide the athlete with emergency medical treatment if needed.

PHOTO RELEASE

I authorize Football NB to take photos, and video in connection with the camp.

I certify I am the parent or legal guardian of the child and I acknowledge that I have read this release waiver fully understanding its content.  

                                                                                                                                               

 Parent or Guardian                       Date                          Athlete Signature               Date
 

PARENT/GUARDIAN INFORMATION FOR U17 TEAM (2009 U15 PROGRAM WILL BE ID CAMP ONLY):

FOOTBALL NEW BRUNSWICK IS HAPPY THAT YOU YOUR SON IS IN THE FINAL SELECTIONS FOR THIS YEAR’S EDITION OF U17 TEAM N.B..   WE WISH YOUR SON THE BEST OF LUCK IN THE COMING SEASON.

OUR COACHING STAFF IS A HIGHLY SKILLED GROUP OF INDIVIDUALS ALL OF WHOM HAVE PLAYED AND COACHED AT A HIGH LEVEL OF COMPETITION.  ALL OF OUR COACHES ARE UNAFFILIATED WITH THE HIGH SCHOOL OR MINOR PROGRAMS THUS MAKING THE SELECTION PROCESS AN UNBIASED ONE.  PLAYERS WILL BE EVALUATED ON THEIR PERFORMANCE AND THEIR TEAM CHARACTER TRAITS.

THE FOOTBALL NB U17 FOOTBALL PROGRAM WILL GIVE EVERY PLAYER ROLES, AND THEY WILL BE GIVEN FEEDBACK ON THEIR PERFORMANCE.  THIS PROGRAM IS A COMPETITIVE PROGRAM AND PLAYING TIME WILL NOT BE EQUAL.

PLAYERS WILL BE CHALLENGED AT EVERY ASPECT OF THIS COMPETITION.  WE BELIEVE THAT THIS WILL BE ONE OF THE GREATEST EXPERIENCES OF YOUR SON’S LIFE AND LOOK FORWARD TO BEING A PART OF THAT WITH THEM.

WE NEED EVERY PLAYER/PARENT ‘ON BOARD’ WHEN IT COMES TO THE GOALS OF OUR PROGRAM.  WE WILL BE SUCCESSFUL AND COMPETITIVE. WE WILL BE RESPECTFUL AND CLASSY.

 
WE WILL DEMAND 100% EFFORT AND TEAM PLAY.  WE WILL DO EVERYTHING WITH THE UTMOST INTEGRITY.

 
WE UNDERSTAND THAT THIS MAY IN SOME CASES, BE THE FIRST TIME YOUR SON HAS BEEN AWAY FROM HOME IN THIS TYPE OF FORMAT.   FOR YOUR INFORMATION, ALL OF OUR VOLUNTEERS COACHES  HAVE BEEN ASKED TO DO A BACKGROUND CHECK. 

 
ALSO, I PERSONALLY KNOW ALL THE INDIVIDUALS AND CAN VOUCH FOR THEIR INTEGRITY AND TRUSTWORTHINESS.
 

Dave Blanchard, Director of Athlete Development
Football
New Brunswick  

U17 PARENT AND U17 PLAYER SIGNATURES:

I UNDERSTAND THAT THIS WILL BE A COMPETITIVE  PROGRAM THAT WILL CHOOSE PLAYERS BASED ON PERFORMANCE AND TEAM WORK.   I WILL BE A POSITIVE INFLUENCE ON MY SON AND THE TEAM.  
 

________________________________________________

SIGNATURE  OF U17 PLAYER  

_______________________________________________

PRINT NAME  
          

________________________________________________

SIGNATURE  OF U17 PARENT  

_______________________________________________

PRINT NAME