Sporting Columbia Registration Packet 2017 / 2018

Sporting Columbia Registration Packet 2017 / 2018 Armory Sports Center 701 East Ash Street Columbia, MO 65202 Registration Locations: Pride Park 5023 Roger Wilson Memorial Drive Columbia, MO 65202 Registration Dates & Times: Tuesday, June 27 th 6:00pm 8:00pm Armory Sports Center Thursday, June 29 th 6:00pm 8:00pm Armory Sports Center Wednesday July 12 th 6:00pm 8:00pm Pride Park All families will need to attend one of the dates listed above in order to complete the registration process. Please have all forms completely filled out and signed along with the additional items required. All registration must be complete on or before July 12, 2017 in order to meet deadlines for Fall. Incomplete packets will not be accepted and player passes will not be distributed until paperwork is completed with a staff member. Forms required to complete registration: v Age group registration packet (sportingcolumbia.net / Forms page) v Copy of player birth certificate v Copy of medical insurance card (front and back) Questions? Please email scsc@sportingcolumbia.net 1 P age

Player and Parent Agreement 2017 / 2018 I understand my responsibilities as a player for Sporting Columbia SC is a year round commitment that I am expected to participate in the fall and spring outdoor seasons and any winter sessions the team schedules (High School players Fall or Spring play). As a player I will: 1) Honor all commitments required by Sporting Columbia SC 2) Attend all Sporting Columbia SC training sessions and games as scheduled. I understand that Club Coaches determine playing time and it is dependent upon a number of factors, including but not limited to ability, practice attendance, overall attitude. 3) Wear Sporting Columbia SC apparel to all practices and games as requested. 4) Refrain from using foul language, alcohol, drugs or anything else that degrades my condition as an athlete. 5) Will not post any material on social media sites that may be offensive, harassing, bullying or otherwise inappropriate. 6) Treat all teammates, opponents, officials and coaches with courtesy, respect and good sportsmanship. 7) Will not attend any other coaching training session or play for another organization without the written permission of Technical Director. School soccer and ODP acceptable and do not require permission. 8) Represent Sporting Columbia SC with values and principles of the highest standard, both on and off of the field. As the parent / legal guardian of the player listed below realize my responsibilities as part of Sporting Columbia SC program. As a parent I will support Sporting Columbia SC programs. Questions shall be directed to the individual coaches then to the Director of Coaching of the respective age group. Negative behavior or interference toward a referee, coach, player or parent of any kind will not be tolerated. (Parent or Legal Guardian Signature) (Print Parent Name) (Player Signature) (Print Player Name) 2 P age

Financial Agreement U8 U10 Boys & Girls Player Name Team B or G Annual One-Time Non-Refundable Club Fee: $410.00 Payment is due at registration via check or July 15 th online via the card used at the time of registration. IF the payment plan is chosen, payment dates are: ($5 additional cost per installment payment) Payment #1 Due July 15 th $210.00 Payment #2 Due September 15 th $210.00 League / Tournament fee will be invoiced separately Due on August 15 th for Fall events & February 15 th for Spring events. Sporting Columbia SC is a 501(c)(3) non-profit organization. The money paid by families funds the mission of the Club. If the financial commitment is not fulfilled none of this is possible. 15-Day Grace Period Player accounts delinquent after the fifteen day grace period will no longer have access to his/her player pass. Until such time that the account is current, the player will be ineligible to participate in practices, scrimmages, team games or tournaments. No player will be released from the Club with a past due account. Late payments made after 15 days are automatically charged a late fee of $25. Should an additional payment plan (other than listed above) be required it is the responsibility of the parent/guardian to contact the Executive Director to determine an acceptable plan per Club policies. By signing below, I hereby agree to pay the payment schedule proposed by Sporting Columbia SC. I understand the financial agreement as stated and if my child leaves during the seasonal year no refunds are offered. Check below if requesting alternate payment plan. (Parent or Legal Guardian Signature) (Date) Requesting Alternate Payment Plan 3 P age

Volunteer Agreement (BINGO) 2017 / 2018 Sporting Columbia is a 501(c)(3) non-profit, volunteer organization. It is also one of the few organizations of its kind developing a real estate venture of the magnitude of Pride Park. In order to keep individual player fees low while continuing to pay the physical development costs of Pride Park, the Club operates a bingo operation every Saturday night in Columbia, in accordance with the rules and regulations of the Missouri Gaming Commission. Your signatures below indicate your commitment to provide bingo fundraiser volunteer hours to Sporting Columbia SC for the season indicated on this sheet. Family Obligation *Based on 2017/2018 enrollment Please read carefully as requirements vary and will be discussed / verified at registration. U8 U14 Eligible U8 U14 In-Eligible High School Eligible & In-Eligible 2 slots per player per year 3 slots per player per year / 5 slots per year for 2 players 2 slots per player per year Bingo sessions are Saturday night s beginning at 4:00PM to approximately 8:30PM for In- Eligible (concession) and 10:00PM for Eligible (floor) workers. Multiple family members can work the same night, thus covering more than one slot per night. Bingo is held at the Cosmopolitan Club located at 1715 Burlington Street Columbia MO. Eligible vs In-Eligible In order to be eligible to work the actual Bingo game (floor & window sales), according to the rules and regulations of the Missouri Gaming Commission a member of your family must have been associated with Sporting Columbia SC for two consecutive seasons. Any family member who has had a member play, coach or other involvement with Sporting Columbia SC s RECREATIONAL or COMPETITIVE program or any ADULT or SECONDARY team or league organized or sponsored by Sporting Columbia SC for at least two consecutive seasons is ELIGIBLE to WORK THE BINGO FLOOR. All immediate family members who are 16 or older may work Bingo as well. ALL BINGO FLOOR WORKERS MUST HAVE SOCIAL SECURITY NUMBERS AND COPY OF DRIVERS LICENSE ON FILE WITH THE GAMING COMMISION. FLOOR ELIGIBLE FAMILIES MAY NOT WORK THE CONCESSION STAND UNLESS PREVIOUS ARRANGEMENTS HAVE BEEN MADE WITH THE EXECUTIVE DIRECTOR. 4 P age

If no one in your immediate family has been associated with Sporting Columbia SC s RECREATIONAL or COMPETITIVE program or any ADULT or SECONDARY team or league organized or sponsored by Sporting Columbia SC for at least two consecutive seasons is IN-ELIGIBLE and must work in the concession stand only. CONCESSION WORKERS MUST PROVIDE ONE LARGE HOMEMADE DESSERT FOR EACH PERSON WORKING. (for example if you sign up for three slots on the same night you must provide three desserts) Sign ups Bingo work schedule sign up is online via the SignUp Genius website and is available first come first serve upon the release of the sign up. ALL FAMILIES MUST HAVE WORKED OR BE SIGNED UP TO WORK ONE SLOT PRIOR TO OCTOBER 1 ST AND ALL SLOTS SIGNED UP OR WORKED BY FEBRUARY 1 ST. If a family fails to work a scheduled night the player pass will be pulled; the player will not be allowed to participate in games until a $100 forfeit fee per slot is paid to the Club to cover the replacement worker. High School Girls must be signed up for all slots by October 1 st AND work ALL slots by December 31 st. Schedule is released to them seven days prior to Club wide release. If you cannot work after you signed up you may cancel if it is 14 days or more in advance, otherwise you must find a replacement worker by trading with another family. Bingo Waiver Families may opt out of the Bingo fundraiser by paying the waiver of $250, for the first player, $200 for each additional player. By choosing this option and paying the waiver a family will be exempt from the Bingo fundraiser for the entire seasonal year. Waiver is due August 1 st for U8- U14 Boys/Girls & HS Girls / January 1 st for HS Boys. THIS IS THE ONLY WAIVER OPTION AVAILABLE THRU THE CLUB FOR THE 2017/2018 SEASONAL YEAR. Player Name Parent Name Parent Name Other Family member Other Family member We have read the Sporting Columbia Bingo Volunteer Policy / Information and agree to the following: I / WE will fulfill our family Bingo Volunteer obligation by working Bingo I / WE choose to pay the Bingo fundraising waiver fee as outlined above Parent Signature Date 5 P age

Volunteer Agreement (Tournament) 2017 / 2018 Sporting Columbia is a 501(c)(3) non-profit, volunteer organization. Your signatures below indicate your commitment to work the Club s second fundraiser, the Mid-Missouri Classic. Family obligations Competitive families are required to work 1 ½ hours at each Mid-Missouri Classic Tournament (fall & spring). This obligation could include selling t-shirts, working as a field marshal, concessions, etc.) Families are also asked to work 1 ½ hours at any MYSA sponsored Presidents Cup and/or State Cup games hosted by the Club in Columbia. Team assignments will be made for these events. All rostered players are responsible for volunteer slot even if they are out of town or not participating in the event due to personal conflicts. (HS Girls in the Fall & HS Boys in the Spring only) Sign ups Tournament work schedule is online via the SignUp Genius website. Sign up is available shortly after the event schedule is complete and is first come first serve for time slots. Tournament Waiver Families may opt of tournament volunteering by paying the waiver of $75 PER EVENT. By choosing this option your family will be exempt from tournament volunteering for that specific event. Waiver is due September 1 st for the Fall MMC to be held October 6 th 8 th ($75) March 1 st for the Spring MMC to be held in April (date pending via MYSA approval) ($75) We have read the Sporting Columbia Tournament Volunteer Policy / Information and agree to the following: I / WE will fulfill our family Tournament Volunteer obligation by working I / WE choose to pay the Tournament fundraising waiver fee as outlined above Parent Signature Date 6 P age

50/50 Sponsorship Form We appreciate your sponsorship consideration for Sporting Columbia during the 2017-2018 seasonal year. We are a non-profit organization focused on providing a positive youth soccer experience for over 1500 players in Boone County and we appreciate the possibility of your sponsorship in our Community soccer program. Our sponsors matter and we show it with: o Name Recognition on Club correspondence (newsletter, tournament, etc) o Name recognition on our Website and Facebook Page for any sponsorship of $100 or more o Name recognition on Club practice jerseys on any sponsorship of $250 or more o Web advertising link our website for $500 and up How your sponsorship contribution benefits the players and the Club: o 50% of your contribution will help your sponsored player with player fees and costs o 50% of your contribution will help cover the costs of running the Club financial aid fund primary focus Suggested sponsorship levels include: o $500 Gold Level Sponsor o $250 Silver Level Sponsor o $100 Bronze Level Sponsor o Any amount is appreciated and accepted by the Club Sporting Columbia is a non-profit 501(C)3 organization recognized by the Internal Revenue Service under Federal Tax ID Number: 43-1319296. Please contact us at Stephanie@SportingColumbia.net with any questions. Player Name: Sponsor Name: Business Name: Contact: Sponsor Address: Phone: Email: Sponsorship Amount: $ Check Number: Mail to: Sporting Columbia PO Box 7506 Columbia, MO 65205 DEADLINE JULY 24 TH! (Sponsorships received after the deadline will be included on the following season shirt printing)

PARENT/GUARDIAN CONSENT AND PLAYER MEDICAL RELEASE FORM Player s Name: Date of Birth: Gender: Address: City: State: Zip: EMERGENCY INFORMATION Father s Name: Home Phone: Work Phone: Mother s Name: Home Phone: Work Phone: In an emergency, when parents cannot be reached, please contact: Name: Home Phone: Work Phone: Name: Home Phone: Work Phone: Allergies: Other Medical Conditions: Player s Physician: Home Phone: Work Phone: Medical and/or Hospital Insurance Company: Phone: Policy Holder: Policy #: Group #: PLEASE COPY BOTH SIDES OF YOUR HEALTH INSURANCE CARD AND ATTACH TO THIS FORM PARENT/GUARDIAN CONSENT AND MEDICAL RELEASE Recognizing the possibility of injury or illness, and in consideration for US Youth Soccer and members of US Youth Soccer accepting my son/daughter as a player in the soccer programs and activities of US Youth Soccer and its members (the "Programs"), I consent to my son/daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify US Youth Soccer, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter s participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs. My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I have provided written notice, which is submitted in conjunction with this release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment. Signature of Parent/Guardian Date