2008 MEDFORD LAKES ATHLETIC ASSOCIATION (MLAA) – CODE OF CONDUCT / REGISTRATION FORM

Please note that your child will not be permitted to participate unless both the Code of Conduct and the Registration are signed.

Preamble:  Youth sports programs play an important role in promoting the physical, social and emotional development of children.  It is therefore essential for parents, coaches and officials to encourage youth athletes to embrace

the values of good sportsmanship.  Moreover, adults involved in youth sports events should be models of good sportsmanship and should lead by example by demonstrating fairness, respect and self-control.

I, therefore, pledge to be responsible for my words and actions while attending, coaching, officiating or participating in a youth sports event and shall conform my behavior to the following Code of Conduct:

1.        I will not engage in unsportsmanlike conduct with any coach, parent, player, participant, official or any other attendee.

2.        I will not encourage my child, or any other person, to engage in unsportsmanlike conduct with any coach, parent, player, participant, official or any other attendee.

3.        I will not engage in any behavior which would endanger the health, safety or well-being of any coach, parent, player, participant, official or any other attendee.

4.        I will not encourage my child, or any other person, to engage in any behavior which would endanger the health, safety or well-being of any coach, parent, player, participant, official or any other attendee.

5.        I will not use drugs or alcohol while at a youth sports event and will not attend, coach, officiate or participate in a youth sports event while under the influence of drugs or alcohol.

6.        I will not permit my child, or encourage any other person, to use drugs or alcohol at a youth sports event and will not permit my child, or encourage any other person, to attend, coach, officiate or participate in a youth sports event while under the influence of drugs or alcohol.

7.        I will not engage in the use of profanity.

8.        I will not encourage my child, or any other person, to engage in the use of profanity.

9.        I will treat any coach, parent, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability.

10.     I will encourage my child to treat any coach, parent, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability.

11.     I will not engage in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official or any other attendee.

12.     I will not encourage my child, or any other person, to engage in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official or any other attendee.

13.     I will not initiate a fight or scuffle with any coach, parent, player, participant, official or any other attendee.

14.     I will not encourage my child, or any other person, to initiate a fight or scuffle with any coach, parent, player, participant, official or any other attendee.

I hereby agree that if I fail to conform my conduct to the foregoing while attending, coaching, officiating or participating in a youth sports event I will be subject to disciplinary action, including but not limited to the following in any order or combination:

1.        Verbal warning issued by an authorized official of the MLAA or any organization in which a team sponsored by the MLAA participates.

2.        Written warning issued by an authorized official of the MLAA or any organization in which a team sponsored by the MLAA participates.

3.        Suspension or immediate ejection from a youth sports event issued by an authorized official of the MLAA or any organization in which a team sponsored by the MLAA participates.

4.        Suspension from multiple youth sports events issued by an authorized official of the MLAA or any organization in which a team sponsored by the MLAA participates

5.        Season suspension or multiple season suspension issued by the MLAA or any organization in which a team sponsored by the MLAA participates.

__________________________        _______________       __________________________   _______  Boy   Girl   SPORT   ____________GRADE   ____

Signature of Parent/Guardian                    Date                          Signature of Participant                  Date                           

 

Participant’s Name _______________________________________________________                                                                   DATE OF BIRTH___________

 

Address  ____________________________________________      Home Phone  __________________________      Work Phone# ________________________

 

Father’s First Name  __________________    Mother’s First Name _______________________  E-Mail Address ________________________________________

 

Other Teams or Sports Participating in this Season  ___________________________________          Colony Club Dues  Paid   Not Paid

Shirt Size:  Youth                 Small    Medium   Large                                OR          Adult                       Small    Medium    Large

 

MEDICAL INFORMATION:  Please list any allergies, medical conditions or special needs:

_______________________________________________________________________________________________________________________________________

In an emergency, please contact (Parent, Doctor, Neighbor, etc)

Physician:  ______________________________________________   Phone:  _____________________________

1.  _____________________________________________________   Phone:  _____________________________  Relationship ______________________________

2.  _____________________________________________________   Phone:  _____________________________  Relationship ______________________________

VOLUNTEER INFORMATION: (Must Check One)

 

Coach ____________________________             Assistant Coach ________________________________      Fields  _______________________________________

                (Name of Volunteer)                                                                                     (Name of Volunteer)                                                                                     (Name of Volunteer)       

I am willing to head a committee.  Please call me at  _______________________________

I or someone I know would like to sponsor a team.  Yes  No

     I/we the parent or guardian of the above named candidate, acknowledge that injuries are a common occurrence in athletic activities and give my/our approval for him/her to participate in MLAA activities.  I/we understand it is the responsibility of the parents or guardians to provide health and accident insurance to cover the participant.

 

     I/we assume all risks and hazards incidental to such participation including transportation to and from the activities.  I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the MLAA, organizers, sponsors, supervisors, participants, coaches, officials and any person transporting the candidate to and from activities without compensation, from any and all claims arising out of an injury to the candidate or members of my family as a participant, spectator, official or coach.

 

     I am aware that although the MLAA provides the safety equipment commonly used in the sport, there may be additional equipment available which would provide additional protection against injury.  I am aware that I may, at my own expense provide such equipment to the participant.

 

Signature of Parent/Guardian  _____________________________________________        Date  ___________________________________

Reg Fee:  ________                 Late Fee:  _________  Cash/Check#  __________  Total Paid $_________ Reg Initials:  _________  Date Paid:  __________ Remarks:________