registration form fall focus! check one - escondido · optional scholarship donation $ 1.00 ......

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SHOOT AHEAD! GAME ON! Escondido Sports Center Kit Carson Park Toll Free: 855-ESC-4ALL (372-4255) Fax: 760-739-7019 ONLINE REGISTRATION AVAILABLE AT: www.sportscenter.escondido.org NEW! Registration Form Registration Form Registration Form WINTER SPRING SUMMER School: City: Zip: Age: M F I.D. Exp. Date: Parent/Guardian: E-mail Address: Work #: Youth Soccer $ . Optional Scholarship Donation $ 1.00 -Discount/*Credit Scholarship -$ . $ FEE ACTIVITY TOTAL MAIL-IN/FAX-IN ONLY PRINT NAME AS IT APPEARS ON CARD SIGNATURE EXP. DATE CREDIT CARD # I hereby authorize the use of my MasterCard, Visa, Discover or American Express card account: (circle one) __ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __ *Please send your yellow copy of credit voucher with registration form. Make checks payable to: City of Escondido. Mail to: Escondido Sports Center, 3315 Bear Valley Parkway, Escondido, CA 92025. Enclose a self-addressed, stamped envelope for a receipt. GO FOR IT! FOCUS! 3315 Bear Valley Parkway, Escondido Check One: FALL PLAYER INFORMATION Address: Player’s Name: Phone: Parent/Guardian: Work #: PAYMENT INFORMATION CLASSIFICATION WAIVER/RELEASE • PLEASE READ WAIVER AND SIGN BELOW • By signing below, I agree that, my child, or my ward will not be able to participate in this league until my child, or my ward has a valid Sports Center I.D. Card, and that I will read and sign the Escondido Sports Center Agreement and Release of Liability Form before my child, or my ward participates in any sports at the Escondido Sports Center. I understand that the City may take photographs for the use in City publication, Web sites, and news releases without my written consent. I have read the above Waiver/Release of liability an understand it. Signature of Parent/Guardian_________________________________________________________ Date ____________________________ CLASSIFICATION SEASON DATES Female Male Date of Birth Total Number of Seasons Played in an Organized Soccer League Skill Level (circle one) Please rate your child as accurately as possible Division (Beg.) (Int.) (Adv.) 1 2 3 4 5 If your child requires special assistance, or has any learning/physical disabilities, please note in the provided area so we can be sure to place him/her appropriately: _____________________________________________________________________________________________________ _______________________________________________________________________________________________________________ n d o i d c s o e n d o i d c s o e n d o i d c s o e SEASONS SEASONS SEASONS SEASON DATES SEASON DATES SEASON DATES REGISTRATION REGISTRATION OPENS OPENS REGISTRATION OPENS REGISTRATION REGISTRATION CLOSES CLOSES REGISTRATION CLOSES Winter ‘15 Winter ‘15 Winter ‘15 Spring ‘15 Spring ‘15 Spring ‘15 Summer ‘15 Summer ‘15 Summer ‘15 January 22–March 14 April 9–June 13 July 9–August 29 November 3, 2014 January 19, 2015 April 6, 2014 January 5, 2015 March 16, 2015 June 15, 2015 Fall ‘15 Fall ‘15 Fall ‘15 September 24–December 19 July 6, 2015 September 8, 2015

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SHOOT AHEAD!

GA

ME

ON

!

Escondido Sports Center • Kit Carson Park

Toll Free: 855-ESC-4ALL (372-4255) • Fax: 760-739-7019 ONLINE REGISTRATION AVAILABLE AT:

www.sportscenter.escondido.orgNEW!

Registration FormRegistration FormRegistration FormWINTER SPRING SUMMER

School:

City: Zip:

Age:M F

I.D. Exp. Date:

Parent/Guardian:

E-mail Address:

Work #:

Youth Soccer $ .

Optional Scholarship Donation $ 1.00

-Discount/*Credit Scholarship -$ .

$

FEEACTIVITY

TOTAL

MAIL-IN/FAX-IN ONLYPRINT NAME AS ITAPPEARS ON CARD

SIGNATUREEXP.DATE

CREDITCARD #

I hereby authorize the use of my MasterCard, Visa, Discover or American Express card account: (circle one)

__ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __

*Please send your yellow copy of credit voucher with registration form. Make checks payable to: City of Escondido. Mail to: Escondido Sports Center, 3315 Bear Valley Parkway, Escondido, CA 92025. Enclose a self-addressed, stamped envelope for a receipt.

GO

FO

R I

T!

FOCUS!

3315 Bear Valley Parkway, Escondido

Check One: FALL

PLAYER INFORMATION

Address:

Player’s Name:

Phone:

Parent/Guardian: Work #:

PAYMENT INFORMATION

CLASSIFICATION

WAIVER/RELEASE • PLEASE READ WAIVER AND SIGN BELOW •

By signing below, I agree that, my child, or my ward will not be able to participate in this league until my child, or my ward has a valid Sports Center I.D. Card, and that I will read and sign the Escondido Sports Center Agreement and Release of Liability Form before my child, or my ward participates in any sports at the Escondido Sports Center. I understand that the City may take photographs for the use in City publication, Web sites, and news releases without my written consent.I have read the above Waiver/Release of liability an understand it.

Signature of Parent/Guardian_________________________________________________________ Date____________________________

CLASSIFICATION

SEASON DATES

Female

Male

Date of BirthTotal Number of Seasons Playedin an Organized Soccer League

Skill Level (circle one)Please rate your child

as accurately as possible

Division

(Beg.) (Int.) (Adv.)

1 2 3 4 5

If your child requires special assistance, or has any learning/physical disabilities, please note in the provided area so we can be sure to place him/her appropriately: _____________________________________________________________________________________________________

_______________________________________________________________________________________________________________

ndo idcs oendo idcs oendo idcs oe

SEASONSSEASONSSEASONS SEASON DATESSEASON DATESSEASON DATESREGISTRATIONREGISTRATION

OPENSOPENSREGISTRATION

OPENSREGISTRATIONREGISTRATION

CLOSESCLOSESREGISTRATION

CLOSES

Winter ‘15Winter ‘15Winter ‘15

Spring ‘15Spring ‘15Spring ‘15

Summer ‘15Summer ‘15Summer ‘15

January 22–March 14

April 9–June 13

July 9–August 29

November 3, 2014

January 19, 2015

April 6, 2014

January 5, 2015

March 16, 2015

June 15, 2015

Fall ‘15Fall ‘15Fall ‘15 September 24–December 19 July 6, 2015 September 8, 2015

Ages

Ages3–4

Photo

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Ages5–8

Ages9–14

Players having a birthday before or during the season must register in the older division.

5 & 6 Years5 & 6 Years5 & 6 Years Thursday Saturday

DIVISIONSDIVISIONSDIVISIONS

AGESAGESAGES PRIMARY DAYPRIMARY DAYPRIMARY DAY ALTERNATE DAYALTERNATE DAYALTERNATE DAY

7 & 8 Years7 & 8 Years7 & 8 Years Friday Saturday

AGE DIVISIONS & GAME DAYS

4:30–8:00 p.m.

TIME (approx.)TIME (approx.)TIME (approx.)

4:30–8:00 p.m.

COSTCOSTCOST

$75 Winter/Summer

FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER

$85 Fall/Spring

Complete the registration form on the back of this flyer. Each participant must have a current ESC ID card in order to register. Annual ($10)Monday–Friday: 3:00 p.m.–7:00 p.m. • Saturday: 8:00 a.m.–6:00 p.m. • Sunday: 1:00 p.m.–6:00 p.m.Walk-in, Mail-in or Fax-in the completed registration form and the league fee prior to the registration deadline. Space is limited, so register early

TOREGISTER:

9 - 11 Years9 - 11 Years9 - 11 Years 4:00–8:00 p.m.

DIVISIONSDIVISIONSDIVISIONS

AGESAGESAGES

12 – 14 Years12 – 14 Years12 – 14 Years 4:00–8:00 p.m.

AGE DIVISIONS & GAME DAYS

PRIMARY DAYPRIMARY DAYPRIMARY DAY

Thursday

Friday

Friday

Thursday

ALTERNATE DAYALTERNATE DAYALTERNATE DAY TIME (approx.)TIME (approx.)TIME (approx.)COSTCOSTCOST

$75 Winter/Summer

FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER

$85 Fall/Spring3 & 4 Years3 & 4 Years3 & 4 Years

FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER FALL, WINTER, SPRING & SUMMER

Saturday 9:00 a.m.–2:00 p.m.

DIVISIONSDIVISIONSDIVISIONS

AGESAGESAGES DAY DAY DAY GAME TIMES (approx.)GAME TIMES (approx.)GAME TIMES (approx.)

AGE DIVISIONS & GAME DAYS

COSTCOSTCOST

$69 Winter/Summer$79 Fall/Spring

18 mos.–7 yrs.

The Escondido Sports Center and North County Soccer Park have formed a

partnership to bring your child Soccer & Child Development Classes called Lil Kickers!

THE LIL KICKER SOCCER INSTRUCTION PROGRAM FOR YOUR CHILD INCLUDES:

• Non-Competitive Learning Environment

• Parent/Child Classes Available

• Builds Coordination, Confidence, and Soccer Skills

• Great preparation before they play in the Escondido Sports Center Youth Leagues

FOR COMPLETE LIL KICKER SCHEDULE AND TO REGISTER VISIT:www.ncspsoccer.com

18 mos–7 Yrs18 mos–7 Yrs18 mos–7 Yrs M, T, W, Sat & Sun

AGESAGESAGES DAYSDAYSDAYS COSTCOSTCOST

AGE DIVISIONS & GAME DAYS

CLASS TIMESCLASS TIMESCLASS TIMES

M, T, W– 4 p.m.–6 p.m.Sat – 8 a.m.–11 a.m.$104 includes

T-Shirt & Award Medal

TEAMSTeams will be formed using a computer program which takes into consideration coaches and parent evaluation, age, gender, number of seasons played, and skill level. You will be contacted by your coach the week before play begins.

PRACTICESTeams may practice no more than once per week and are subject to field availability.

Priority practice times are given to: a) younger age groups first; b) coaches with the most number of seasons coached at the Escondido Sports Center, c) practice times are chosen by the coaches.

COACHESCoaches receive a $20 discount if selected (one discount per team). Coaches may request 3 players for your team. (This includes your child(ren). A pre-season coaches meeting will include rules, drills, positions, and game strategies. Fill out an application at time of registration. All coaches are required to be fingerprinted. Completion of the above does not guarantee a position as coach.

GAME DAYSTeams may be assigned two game days: “primary” and “alternate.” The league will try to schedule most or all of the games on the “primary” days, time permitting. However, players MUST be available to play on both of these days. It is possible teams will have regularly scheduled games on both the “primary” and “alternate” game days.

TEAMSTeams will be formed through a draft process. Each player and coach must attend an assessment training session on draft day to ensure a competitive balance in the league. For more information on the draft process contact Cruz Mora at [email protected].

PRACTICESDue to increased participation, there is a very limited amount of practice time during each season. Be prepared to find an off-site location to practice. Teams may practice no more than once per week and are subject to field availability. Priority practice times are given to: a) younger age groups first; b) coaches with the most number of seasons coached at the Escondido Sports Center, c) practice times are chosen by the coaches.

COACHESCoaches receive a $20 discount if selected (one discount per team). Coaches may request 3 players for your team. (This includes your child(ren). A pre-season coaches meeting will be held. Fill out an application at time of registration. All coaches are required to be fingerprinted. Completion of the above does not guarantee a position as coach.

GAME DAYSTeams may be assigned two game days: “primary” and “alternate.” The league will try to schedule most or all of the games on the “primary” days, time permitting. However, players MUST be available to play on both of these days. It is possible teams will have regularly scheduled games on both the “primary” and “alternate” game days.

TEAMSTeams will be formed using a computer program which takes into consideration coaches and parent evaluation, age, gender, number of seasons played, and skill level. You will be contacted by your coach the week before play begins.

PARENT PARTICIPATIONParents are encouraged to participate in the first game with their child(ren). This age group needs more than one “coach/leader” to organize a team. Parents are needed to position their children on the field, handle their child's special needs, assist with teaching the basics about soccer and, most importantly, cheering the young players on! Each team will be assigned one “head” coach/leader to coordinate with the office.

COACHESHelp as a coach and we will give you the materials needed to be effective and lead your team. Coaches receive a $20 discount if selected, one discount per team. Coaches may request 3 players for your team. (This includes your child(ren). A pre-season coaches meeting will include rules, drills, and positions. Please fill out an application. The head coach is required to be fingerprinted. Completion of the above does not guarantee a position as coach.

Sun – 9 a.m.–11 a.m.