St. Bernard School Athletic Association

2011-2012 Sports Programs Registration

 

No child will be placed on a roster until

1) the registration form is completed; 2) the appropriate fees are remitted; and

3) the “Permission to Participate in Athletics” Physician's Release form has been returned to the school office.

(Additional physical forms are available in the School Office and at www.stbschool.com)

 

 

Child(ren)’s Last Name:________________________________ Home phone:__________________________

Name of Parent(s)/Guardian(s):_______________________________________________________________

Street:_________________________________________ City, Zip:__________________________________

Email:___________________________________________________________________________________

 

 

 

Name

2011-2012

Grade

Date of Birth

Cheer-leading

Cross Country

Football

Volleyball

Basketball

Soccer

# of Sports

Child 1

 

 

 

 

 

 

 

 

 

 

 

Child 2

 

 

 

 

 

 

 

 

 

 

 

Child 3

 

 

 

 

 

 

 

 

 

 

 

Child 4

 

 

 

 

 

Text Box: READ AND SIGN THIS FORM registration AFTER CUT OFF DATES IS UP TO THE DISCRETION OF COACHES AND THE SBSAA. LATE SIGN UPS will be assessed A $50 late fee.   ATHLETES WILL NOT BE PERMITTED TO PARTICIPATE IN PRACTICE OR GAMES UNTIL CHARGER CLUB DUES, SPORT FEES AND PHYSICALS HAVE BEEN SUBMITTED.      

 

 

 

 

 

 

Total # of Sports:

 

 

 

 

 

 

 

 

@ $75.00/sport:

 

 

 

 

 

 

 

Athletic Fee- $100

 Due in full at the time of registration.

$100

 

 

 

 

 

 

TOTAL FEES PAID

(Not to exceed $625.00 per family)

 

 

 

 

 

 

 

TOTAL FEES DUE

 

 

 

 

 

 

 

 

Registration, fees and physicals must be returned to the St. Bernard School Office to the attention of “SBSAA”.

Commitment - Acknowledgment

The mission of the St. Bernard School Athletic Association (SBSAA) is to provide quality sports programs for all students who wish to participate, regardless of experience, ability, or knowledge of the game, subject to funding and personnel availability.  Objectives focus on providing students with a positive Christian athletic experience through instruction, development, practice, and game participation, concurrent with providing a reasonably competitive representation of the School at all relevant program levels.  It is the express intent of the Sports Programs Policy (including Coaches’ & Parents’ Codes of Conduct) to provide direction to the various members of the SBSAA - program coordinators, coaches, parents, and student-athletes.  Parents and coaches are encouraged to review this Policy and share it with their children in order to enhance the experience of all participants in SBSAA sports programs.

 

I/We have reviewed the requirements of the Sports Programs Policy (including Parents’ & Coaches’ Codes of Conduct), and hereby agree to abide by such standards, policies and procedures as are therein described.  Further, I/we acknowledge that I/we may be subject to penalties if I/we violate any provisions of the same.

 

Name: _______________________________________________________________ Date: ______________________ Parent(s)/Guardian(s)

Name: _______________________________________________________________ Date: ______________________ Parent(s)/Guardian(s)