To Complete Your Registration, Please Fill in and Provide the Following

Rage Minor Football

2016 Registration Checklist

To complete your registration, please fill in and provide the following:

1. Registration Form (F02-002)
2. Content & Release Form (F02-003)
3. Medical Form (F02-004)
4. Media Release Form (F02-005)
5. Player / Coach / Parent Contract (F02-006)
6. Copy of your player’s Birth Certificate
7. Payment (cheques made payable to Rage Football)

• Cheque #1 Football registration fee – Check Form F02-002
• Cheques #2 Volunteer Levy($300.00 dated November 30th). These cheques are returned if allthe volunteer commitments are met (see attached for volunteer options to choose from to meet the commitments); full return or pro-rated refund will be provided at the end of year banquet.

• Cheque #3 Equipment deposit ($250 dated November 30th) payment; returned at the end of year banquet, if equipment is returned within 10 days of the end of the season.

1. Once registrations is received, a link will be sent to sign up on Benchapp™, an online team management tool we are using this season. Please provide information as soon as possible, as this will be the primary way the team will communicate off the field. Benchapp will be used to keep track of who is coming to events, when and where practices and games are and who will be at each event etc.

1. Registration packages can be returned to coaches.
2. Mail in your registration forms at:

Rage Minor Football

P.O. Box 722

Cochrane, AB T4C 1A8

Thanks for joining us in football this season.

Rocky View Rage Football

Player Eligibility Declaration Form

I/We, the parents (guardians) of ______(the Player), a minor, hereby declare that the information provided to Rage Minor Football Association below is true, accurate and correct to the best of my knowledge and belief. Please check one box, or specify other where indicated.

1. Age

 Pee Wee (Players must be 12 years of age or younger in the calendar year of participation in the CPWFL).

 Bantam (maximum of 15 years old as of December 31st of the calendar year of which they play, attending

grade 9 or lower grades).

1. School

 Bow Valley High School

 Cochrane High School

 Westbrook School

 Mitford Middle School

 Ecole Manachaban Middle School

 Bearspaw School

 Cochrane Christian Academy

 Elizabeth Barrett Elementary School

 Glenbow Elementary School

 RVS Community Learning Centre

 St. Timothy's School (or designated Catholic school)

 Cremona High School

 Exshaw School

 Other, please specify: ______

1. Grade

 Grade 7 Grade 8

 Grade 9 Other, please specify (e.g. home schooled) ______

By signing below, I understand that any information given falsely or withheld could affect my eligibility to play minor football for the Rocky View Rage, in the Central Football League and Minor Football at the Alberta Provincial Tournaments. Players not meeting eligibility requirements cannot play football for Rage.

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

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Date Dat

Rocky View Rage Football

Registration Form - 2016 Season

You are registering for Rage Football to play on the team checked below in the 2016 season.

You will also become a member of the Rage Minor Football Association and have one vote at the AGM.

______

1. Level of Football that you are registering for:

 Pee Wee (Players must be 12 years of age or younger in the calendar year of participation in the CPWFL).

 Bantam (maximum of 15 years old as of December 31st of the calendar year of participating in the CFL,

attending grade 9 or lower grades).

1. Player Information

Player Name: ______

Date of Birth (MM/DD/YY): ______

Address: ______

City: ______Postal Code: ______

Home Phone: ______

Primary Email Address: ______

Alberta Health Care Number: ______

1. Contact Information

Father’s Name: ______Cell # ______

Father’s email: ______

Mother’s Name: ______Cell # ______

Mother’s email: ______

Alternate Contact: ______Relationship: ______

Home #: ______Cell # ______

1. Payment Information

Cheques can be made out to Rage Football):

1. Registration Fee: $400 (Pee Wee) or $500 (Bantam). Payment options are available if needed. Please contact Donovan Bender (403-836-6536) for information.
2. Spring Camp:

• Spring Training is mandatory for all athletes at the Bantam levels at St. Timothy’s High School field. This is to allow the teams to participate in Central Football League jamboree and exhibition games in June 2016.

1. Equipment deposit:

• A $250 cheque dated November 30th is required; destroyed when equipment is returned.

1. Volunteer Levy:

• A $300 cheque dated November 30, 2016. This cheque will be cashed if you have not fulfilled all volunteer commitments for Rage Minor Football.
• Only one pair of volunteer levy cheques needed per family.

1. Acknowledgement

By signing this registration form I acknowledge that football played on this team is governed by Football Canada, Football Alberta and Central Football League. The philosophy of each level of play is consistent with the philosophy of minor football in Alberta and Western Canada. This is a competitive rather than a recreational league, but winning is not the only or primary measurement of performance. As much as possible and reasonable, players will be given an opportunity to experience positions on offense, defence and special teams however positioning of players will be made by based on skill, experience, attention & enthusiasm.

There will be no refunds after June 30th, 2016*, with the exception of an injury and/or a doctor’s note, regardless of receipt date.

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Parent or Guardian SignatureDate

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Parent Name (please print)

Rocky View Rage Football

Consent & Release Form

I/We, the parents (guardians) of ______(the Player), a minor, hereby acknowledge that the Player will be playing full-contact tackle football which carries inherent risks and dangers.

I/We consent to the Player's participation in such activity and any and all of the activities of the Rage Minor Football Association (the Association) including practices, games, fundraising activities and other events and agree to assume all risks and hazards involved in and arising out of such activities or the transportation to and from such activities.

I/We further acknowledge that the Player ceases to be under the supervision of the coaching staff at the end of practices, home games, or when the team has reached the home field following an away game.

I/We hereby release the Association and all persons or associated groups assisting in the carrying out of the Association's objectives (including, but not limited to the Leagues, organizers, representatives, sponsors, board members, coaches, officials or other volunteers) from any and all liability for any injury or damages whatsoever arising from the Player’s participation in this football program.

Further I/we agree to hold and save harmless the Association, and the persons or associated groups as listed above, forever from any loss, costs or damage and from any claims, demands, suits, actions or causes of actions resulting from the Player's participation in any or all of the activities of the Association.

I/We expressly agree that this Consent and Release form is intended to be as broad and inclusive as is permitted by law and that if any portion thereof is held invalid, it is agreed that the balance shall notwithstanding continue to full legal force and effect.

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

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Date Date

Rocky View Rage Football

Medical & Treatment Consent Form

PLAYER NAME:______

Please circle the appropriate response below pertaining to your athlete.

Yes No ------Previous history of concussions

Yes No ------Fainting episodes during exercise

Yes No ------Epileptic

Yes No ------Wears glasses

Yes No ------Are the lenses shatterproof?

Yes No ------Wears contact lenses

Yes No ------Hearing problem

Yes No ------Wears braces or other dental apparel

Yes No ------Asthma

Yes No ------Trouble breathing during exercise

Yes No ------Heart condition

Yes No ------Diabetic

Yes No ------Has had an illness lasting more than one week in the past year

Yes No ------Medication

Yes No ------Allergies

Yes No ------Wears a medic alert bracelet or necklace

Yes No ------Does your child have any health problems that would interfere with

participating on a football team?

Yes No ------Surgery in the last year?

Yes No ------Has been in the hospital in the last year

Yes No ------Has had injuries requiring medical attention in the past year.

Yes No ------Presently injured.

Please give details below if you answered "Yes" to any of the above questions

(Use separate sheet if necessary):

______

______

Medications:

______

Allergies:

______

Recent injuries:

______

Any information not already covered:

______

______

Note. Any medical conditions or physical injury problems should be checked by your physician before participating in football related activities.

I understand it is my responsibility to keep the team management advised of any change in the above information as soon as possible.

I understand that in the event no one can be contacted, team management will take my child to the hospital or medical clinic if deemed necessary.

I hereby authorize the trainer and/or coaching staff to undertake examination, investigation and necessary treatment of my child.

I also authorize release of information to appropriate people (coach, physician, etc.) as deemed necessary.

** ALL MEDICAL INFORMATION WILL BE KEPT CONFIDENTIAL **

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

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Date Date

Rocky View Rage Football

Consent to Medical Treatment Form

I/We, the parents (guardians) of ______, a minor, do voluntarily consent to the administration of such medical treatment deemed necessary or advised either by the team trainer(s) under the practices of standard First Aid or by any licensed medical doctor for treatment of any injuries which may arise out of, or be connected with participation in football activities with the Rage Minor Football Association.

I/We also understand that the trainers are not responsible for medical advice outside of their training or that their advice does not replace that of a licensed medical doctor.

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

______

Date Date

Rocky View Rage Football

Media Release Form

In order to facilitate the functioning of the Rage Football Teams, images and personal information of a player may be used in various methods. Public uses are listed below:

Use of player’s name, grade, age, or image (while on or off the field) for purposes of publicizing or archiving Rage Football events or the recognition of players, either through the media or on the Rage Minor website ( Announcing of the player’s name at games Publishing the player’s name and number on a roster for the spectators at games The taking and distributing of team and individual photos with personal information for team mementos (e.g., football cards)

I/We, the parents (guardians) of ______(the Player), a minor,

 give consent

 do NOT give consent

to the use of the player’s personal information and image as described above.

If you wish to restrict the use of the personal information or player’s image, ensure you have checked “do NOT give consent” above. Please ensure the Team Manager is advised of your concerns.

Note: Rage Minor Football Association has no control over media who cover public events (e.g., games) on their own. However, we will make every effort to respect the parents’ wishes by informing the media of specific concerns.

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

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Date Date

Rocky View Rage Football

Player / Coach / Parent Contract

1. Attendance – I will attend all practices and games. If I will be absent for a practice or game, I will let the coaching staff know.

2. Respect – I will show respect for coaches, volunteers, officials and my fellow players.

3. Fundraising – I will assist in fundraising, as the football program relies on fundraising money to survive. Whenever dealing with monies related to fundraising, I will hand in all money I collect and/or hand in all fundraising property I do not sell.

4. Playing Time – Playing time is based on your performance at practice. Our program will balance the goals of winning games and developing player skills during our games. Coaches are committed to ensuring that 80% of this “play time” will be on an equal practice-time playing field.

5. Injury – Volunteers and trainers are not medical professionals. Any player injured on or off the field of play, and requiring medical attention must present a note from a physician before being eligible to practice or play again.

6. Team Fees – All fees must be paid at the beginning of the season, and refunds are as per theRefund Policy .

7. Policies and Procedures – I will follow the policies and procedures of the Rage Football. Student athletes are representatives and ambassadors of the Rage Minor Football Association. Student athletes are expected to provide strong examples of leadership and citizenship on and off the field of play. If a student athlete does not conduct him or herself in an appropriate manner, the privilege of participation may be suspended or revoked by a coach. Players are also expected to dress at the discretion of their coach for home or away games. All plays, playbooks and strategies will be kept confidential. Lastly, I am responsible for the care of my equipment.

By signing below, I confirm that I have read and understand this contract. I agree that any failure to abide by this contract may have consequences including expulsion from the team. I understand that as a member of Rage Football I am an ambassador for the team and the organization.

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Parent or Guardian (print) Parent or Guardian (print)

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Signature Signature

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Date Date