Elementary (11U) – Fall Registration

Personal Information

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

GenderMaleFemale

Birth Date

The following players have birth certificates on file.

Please attach a copy of player's birth certificate if your players name is not listed above.

No file chosen

Father's Name

Father's Phone Number

Mother's Name

Mother's Phone Number

Emergency Contact Information

Emergency Contact # 1

Emergency Contact # 1 Phone Number

Emergency Contact # 2

Emergency Contact # 2 Phone Number

Medical Information

Has your player ever had a concussion?YesNo

Allergies

Significant Medical Information

Primary Care Provider

Primary Care Phone Number

Medical Insurance Provider

Medical Insurance Provider Phone Number

Policy Holder

Policy Number

As the parent/legal guardian of the above player, I agree that in the event my child suffers sudden illness, accident, or injury and neither parents nor guardians can be contacted, I give permission for any emergency treatment that is deemed necessary by a licensed Medical professional, and agree to be responsible financially for the reasonable cost of the medical assistance and/or treatment. I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the ECHS Strikers, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the ECHS Strikers accepting the registrant for its soccer programs and activities. I hereby release, discharge and or otherwise indemnity the ECHS Strikers, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize.

Parent / Guardian Signiture

Date

Eligibility

Players shall be homeschooling students with the majority of their education managed by their parents or guardians. Age requirements for teams will match those required for the state home school soccer league. Elementary – 11U Players shall not turn 12 before the last day of the state tournament. Junior High – 14U Players shall not turn 15 before the last day of the state tournament. Varsity and JV – 19U Players shall not turn 20 before the last day of the nationals tournament. *My player is eligible based on the above statementMy player is not eligible based on the above statement and needs to be considered for an exception

Code Of Conduct

As coaches, athletes, and parents participating in the ECHS Strikers, we will seek to glorify Christ in the following areas. Our Motives: Our chief goal in everything that we do is to glorify Christ. (I Corinthians 10:31) Our Unity: We will promote unity within our team, our club and our league. (I Corinthians 12:12) By loving each other (John 15:12) By praying for each other (I Timothy 2:1) By having compassion when others suffer and celebrating when others succeed. ( I Corinthians 12:26) By seeking to get along with each other (Romans 12:18) By resolving our conflicts (Matthew 18: 15-17) Our Behavior: We will seek to glorify Christ by imitating Him. (I John 2:6) By working diligently (Colossians 3:17) Striving to attend all practices and games during the season Willingness to serve in any role asked to benefit the team. By growing in Christ (II Peter 3:18) Being an ambassador for Christ and ECHS By showing respect with our interactions, countenance, and dress. (1 Peter 2:17) By obeying authority (Titus 3:1) By deferring to the coach's decisions regarding playing time and approach to the sport. If there is concern, the athlete will approach the coach to understand the reason for the decision. The parent will refrain from approaching the coach, but rather will encourage their child to approach the coach first. By practicing good conduct (I Peter 2:12) Modest in victory and gracious in defeat Our Speech: We will speak in ways that are honest, encouraging, and respectful. By building each other up (Ephesians 4:29-32 By not tearing each other down.(James 4:11) By avoiding obscene language (Ephesians 5:4) By listening first (James 1:19, 20) By being honest (Ephesians 4:25) Our Excellence: We will exercise self-discipline and seek to compete well. (1 Corinthians 9: 24-27) *As a participant in the ECHS Strikers, I have read and understand the Code of Conduct and agree to abide by its principles.As a participant in the ECHS Strikers, I have read and understand the Code of Conduct and do not agree to abide by its principles.

Statement Of Faith

ECHS Strikers is a Christian organization and affirms the following Statement of Faith. Scriptures: God reveals Himself to us through the Bible, His only inspired Word, and it is completely accurate, reliable, and authoritative. The Godhead: God is the one and only true God, who exists eternally in three distinct yet completely united persons: Father, Son, and Holy Spirit. God is complete, holy, righteous, all-powerful, all-knowing, and loving. He is working to bring about His will for creation. People: God created human beings, male and female, in His image. All human life is sacred and of inestimable value in every stage or condition from conception until death. Salvation: All people have sinned and fall short of God’s glory, therefore all people are separated from Him and deserve to die. In love, God sent Jesus Christ, God incarnate, to earth to pay the price for our sin. Jesus was born of a virgin and lived a perfect, sinless life. He died on the cross as the perfect sacrifice for sin, rose bodily from the dead, and ascended to heaven where He still lives today. All who believe in His sacrifice and accept Him as Savior and Lord are adopted into His family and will live forever with Him in Heaven. The Return of Jesus: One day Jesus will return to earth to resurrect the dead. He will gather believers to Himself and everlasting life and judge unbelievers to punishment and everlasting separation from Himself. Family, Marriage, and Sexuality: God has created each person as either male or female. Human sexuality is a gift and a stewardship from God that cannot be altered. To reject one’s gender is to reject God’s image in oneself. Marriage is instituted by God as a lifelong covenant between one man and woman for the purpose of representing the relationship of Christ with His church, for human companionship, and for bringing children into the world. Sexual behavior is only acceptable within marriage. Children are a heritage from the Lord to be trained for His purpose.

Jersey Order Information

Will you need to order uniforms?Yes, I will need to order uniforms.No, I will not need to order uniforms

Jersey Size

Number Request (No Guarantees)

Registration Fee: $145.00

Non Credit Card Payment MethodCash / CheckCash App