West Lothian Soccer Sevens Development Association

West Lothian Soccer Sevens Development Association

Team Registration Form 2012

Club Name: / Team Name : / Club SYFA I.D. No.
Age Group: Please tick appropriate box:
March to November 2012 March to June 2012
Fours – 6’s (2006) 7’s (2005) 8’s (2004)
Sevens - 9’s (2003) 10’s (2002) 11’s (2001) Sevens – 12’s (2000)

Team Officials as advised on SYFA Registration documents (

Team Match Secretary - Main Contact Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:
Valid SYFA Disclosure/PVG: Yes / No / Valid First Aid Certificate : Yes / No
Coaching Qualifications:
Children’s Level 1 Level 2 Level 3 Goalkeeper Level 1 Safeguarding & Protection Child
Youth’s Level 1 Level 2 Level 3 Physical Preparation Child Physical Preparation Youth
Player Protection Officer Name:
Address:
Postcode:
Telephone (m)
Telephone (h)
e-mail address: / Valid First Aid Certificate : Yes/No
Valid SYFA Disclosure/PVG: Yes / No
Coaching Qualifications:
Basic Awareness Child Protection – Coach Training
Safeguarding & Protection Child – Coach Training
In Safe Hands –Club Child Protection Officer Training
Playing it Safe–Officer Training
Position: First Aider
Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:
Valid SYFA Disclosure/PVG: Yes / No / Valid First Aid Certificate : Yes/No
Coaching Qualifications:
Children’s Level 1 Level 2 Level 3 Goalkeeper Level 1 Safeguarding & Protection Child
Youth’s Level 1 Level 2 Level 3 Physical Preparation Child Physical Preparation Youth


Team Registration Form

Part 2

Other Officials / Coaches

Position: Coach 1
Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:
Valid SYFA Disclosure/PVG: Yes/No / Valid First Aid Certificate : Yes/No
Coaching Qualifications:
Children’s Level 1 Level 2 Level 3 Goalkeeper Level 1 Safeguarding & Protection Child
Youth’s Level 1 Level 2 Level 3 Physical Preparation Child Physical Preparation Youth
Position: Coach 2
Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:
Valid SYFA Disclosure/PVG: Yes / No / Valid First Aid Certificate : Yes / No
Coaching Qualifications:
Children’s Level 1 Level 2 Level 3 Goalkeeper Level 1 Safeguarding & Protection Child
Youth’s Level 1 Level 2 Level 3 Physical Preparation Child Physical Preparation Youth

Additional Information:

Team Colours 1: / Team Colours 2:
EDSSA Coaches High visability yellow Jackets are Compulsory to wear for match fixtures. Loss of jackets are charged at £5 per jacket
How many jackets do you currently have for your Team Personnel? – Qty -
How many additional jackets do you require ordered for your Team Personnel? – Qty -
If your Team / Club has a website and you wish to have it linked to the EDSSA, please give the full address below:
Web : www.
Teams Main contact (must be a registered official) -
The East Dunbartonshire Soccer Sevens Association will put all coaches contact details (e-mail and telephone numbers only) on the website under appropriate age group unless specifically advised to omit coaches. At least one coach must have appropriate e-mail and telephone for website information to share. Unless Player Protection Officer and First Aider are also coaches, these names will not be placed on website.
Club Secretary - Main Contact Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:

Team Registration Form

Part 3

A separate registration form must be completed for each team.

League fees will be agreed and set at the EDSSA AGM or EGM.

Return completed applications to:-

Brian Martin

Email

Alternatively post to:-

1 Garvel Place

Milngavie

G62 7AB

Telephone : 07827 854472

Confirmation of receipt of Form will be advised by your team’s addition to age group league table.

SYFA registrations forms will not be authorised until this form is submitted.

All coaches must attend a PCS in-service day if requested to do so by the EDSSA Committee otherwise they will not be allowed to coach their team during the season. If only one coach registered and they do not attend an in-service day, their team will be removed from the league and no fixtures issued.

If additional Coaches details are to be added to the Registration Form, please copy and paste the undernoted grid as many times as you require to register those additional coaches. If a coach is not registered then they cannot coach the team.

Position:
Name:
Address:
Postcode:
Telephone (h) / Telephone (m)
e-mail address:
Valid SYFA Disclosure: Yes/No / Valid First Aid Certificate : Yes/No
Coaching Qualifications:
Children’s Level 1 Level 2 Level 3 Goalkeeper Level 1 Safeguarding & Protection Child
Youth’s Level 1 Level 2 Level 3 Physical Preparation Child Physical Preparation Youth

Mandatory information for new applications to the Association – please provide the following information:

Previous League’s played in:

Reason for leaving present league played in:

Reason for wishing to join the EDSSA

After this application form has been received, your application will be vetted and will be subject to approval

at the Association’s pre Season meeting, please note that you must send a representative to this meeting.

Team Registration Form

Part 4

***IMPORTANT*** - Every club team coach, volunteer, adults and player is signing up to the following EDSSA Code of Conduct which will also be published on the association website

All team coaches and volunteers must:-

  1. conduct themselves in an appropriate manner befitting their position of adult leaders in charge of children’s sporting activities - they must act as role models for the children
  2. ensure that unsporting behaviour on the field of play is acknowledged through substitution of the player which should diffuse any potential confrontation – players found to be swearing at another player, referee or adult should be removed from the field of play and should take no further part in the game
  3. control adults/supporters and ensure that only encouragement is given to players of both sides for good play – unacceptable adult/supporter behaviour cannot be allowed to be ignored
  4. ensure that only registered team coaches (must be wearing yellow EDSSA jackets) coach the team from the sidelines and request other adults to refrain from coaching or shouting instructions at the children
  5. know the rules in relation to their age group before taking charge of games and referee in a fair manner – a whistle is also a basic requirement
  6. ensure that only coaches take up position on inside lines where pitches are back to back – please stand inside your pitch for health and safety reasons and be aware of children playing on the pitch behind you
  7. report incidents where a game has been abandoned due to a breach of 1, 2 or 3 above or for anything else of a serious nature that was not resolved on the day, to the EDSSA Secretary within 3 days of the game (Coach only)
  8. wear high visibility yellow jacket issued by EDSSA at all times during fixtures allocated by EDSSA
  9. mark up Monitoring Form for opponents behaviour after each game and submit this form to the EDSSA Committee (Andy Bonar) when advised to do so or immediately after the game if scored less than 3 (one coach only)
  10. ensure the children enjoy THEIR football as much as possible regardless of results

Signed / Date

Note

Under SFA Player Pathway the season for 2001/5’s will run from March to November 2012 and 2000’s will run from March to June 2012 (holiday dates tbc)

  • ***Please note that it is critical that a landline and mobile number is provided in case of urgent contact required by the match secretary in the event of late call offs and/or pitch movements as well as an e-mail address, which should be kept up to date, for non urgent contact such as provision of fixture lists, minutes of meetings, etc.
  • Membership to EDSSA is conditional on club/team affiliation to SYFA
  • All coaches, not having done so last August 2011, are required to attend a Positive Scotland Coaching In-Service day as arranged by EDSSA Committee. Nominally for new coaches/clubs but others by exception.
  • All coaches must have the necessary Disclosure checks in place otherwise they will need to be PVG registered by EDSSA Committee at the first available date which will be specified on the EDSSA website
  • All games played under the auspices of EDSSA are non competitive, therefore scores and league tables are not recorded other than 0-0 on website for tracking purposes and easier review of next fixture