Ohio Youth Soccer Asscociation North

Bay Area Soccer League
Rec League Resgistration
P.O. Box 1111
Sandusky, Ohio 44871-1111

Coach Registration

Season : Spring 2009
Last Name:
First Name:
 Middle:
Date of Birth: Not on File On File at BASL
Address:
City:
Zip:
Phone:    
eMail Address:
       
       
Type of Coach:  
Child Coaching: Enter the name of your child that you will be coaching.
Coach Request: You can request a certain coach to work with. There are NO garuntees that you will be on the same team, but we will do our best to try and accomedate your request.
LIABILITY RELEASE

I agree that I the registrant will abide by the rules of the USYSA, its affiliated arganizations and sponsors. Recognizing the possiblity of physical injury associated with soccer and in consideration for the USYA accepting the registrant for its soccer programs and activities (the"Program"), I hearby realease, discharge and/or otherwise indemnify the USYSA, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs and/or being transported to or from the same, which transportation I herby authorize.

CONSENT FOR MEDICAL TREATMENT
I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve life, limb or well-being of myself should I not be able to respond.
COACHING AGREEMENT
As an OYSAN registered coach, I hereby agree to follow and uphold all of the rules and regulations of the above named league, the Ohio Youth Soccer Association North and US Youth Soccer. I also understand that if I do not follow these rules and regulations, I will be subject to sanctions by my league or state association for my actions. In addition, I have signed and sent the Kidsafe Disclosure Statement. KidSafe Program, to the State Office. (This form is obtained through the League Registrar or by download at www.oysan.org). I discharge and/or otherwise indemnify the organization/league/club for which I am registering to coach, Ohio Youth Soccer Association North, its affiliated sponsors, employees and associated personnel, including the owners of fields and facilities utilized against any claim by or on behalf of myself as a result of my participation.
 
By signing below you agree to abide by our liabilty release, give consent for medical treatment as specified above, and acknowledge our coaching agreement.
 
NAME (printed)
   
       
SIGNATURE
DATE
   

Please Do NOT click on the Register Coach button twice. Registering does not require a credit card. Registration fess can be mailed to :BASL, PO Box 1111 Sandusky, OH 44871-1111 along with your signed registration form.