REGISTRATION FORMS AND CHECKLIST

Bronco Parent Meeting - Tuesday, June 12 @ 7:00 p.m.
REGISTRATION FORMS AND CHECKLIST
STUDENT ATHLTES NAME:________________________________________TEAM: _______
What organization did your child participate with during the 2011 Football/Cheerleading Season?
___________________________________
Welcome letter
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Student Athletes Registration Requirements, Rules and Regulations
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Student Athletes Registration Fee Summary
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Team Communication Form
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Parent Volunteer Policy and Contract
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Medical Release and Waiver
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Waiver of Responsibility
Frequently Asked Questions
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Think Detroit PAL Contract (see registration table)
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Copy of Birth Certificate (parents provide)
Football players age 7-14 on or before July 31, 2012
Cheerleaders age 5-14 on or before July 31, 2012
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Verification of Original Birth Certificate stamp
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Physical Form (must have stamp and signature of physician) on or after January 2012
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Registration fee $125.00 cashiers check, money order or online payment. ($5 service fee)
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Registration Fee Receipt # _________________________ (Paypal Confirmation#)
Please complete all forms and return to the registration desk. Your Student Athlete will not be
allowed to participate without a completed registration package including all forms and full
payment.
REGISTRATION REQUIREMENTS
Completed ThinkDetroit PAL Contract
Due – 6/25/2012
Contract will be available at the registration table and must be completed at 1st drop off. **The registration fee for your legal family
is $125 for the 1st student athlete, $100 for the 2nd, and $75 for every student athlete registered after.
Original Birth Certificate
Original and copy of the Birth Certificate must be submitted.
Due – 6/25/2012
Completed Registration form
Due – 6/25/2012
Physical Examination
Due – 6/25/2012
Each child must have a certified physical signed and stamped by a physician. The physical must be dated on or after January
2012. Physicals dated 2011 will not be accepted.
No child will receive a uniform or be allowed to participate until the full registration fee is paid.
REFUND POLICY
You may request a refund of your registration fee up to July 6, 2012. Refunds will be paid in Certified Check within 10 business
days of the request. Walk-ons after June 29, 2012 will be required have registration paid 5 business days from the first practice.
Walk-ons may request a refund up to 5 business days following the registration payment.
STUDENT ATHLETE AND PARENT RULES AND REGULATIONS
1. Please contact your Head Coach/Coordinator with any questions, comments or concerns.
2. Please see your coaching staff regarding any conflicts and give full cooperation when dealing with any issues.
3. Student Athlete’s conduct on/off the field will reflect upon their parents, UYSO (Detroit Broncos), and the coaching Staff.
4. Parent’s should display “good sportsmanship” during games/activities sponsored by UYSO (Detroit Broncos). Breach of this
behavior will result in dismissal of your student athlete with no refund given. Further, verbal or physical altercations between/
among other parents/coaches is prohibited with the consequences being aforementioned.
5. Coaching from the sidelines is not necessary. Parents may watch practices from a designated area on the field. Please do not
interrupt practice or enter the practice area for any reason.
6. Please be sure that your student athlete has transportation to and from each practice/game. Regular attendance is extremely
important. Student athletes should attend every practice and game, as each athlete is a vital part of the TEAM. Parents should
arrive 5-minutes prior to the end of the practice/game. If your student athlete is unable to report to the field due to illness or other
personal reasons, the parent must notify the Coach. Habitual absenteeism is grounds for dismissal.
7. RAIN DAY: Football Practice will be cancelled ONLY if players are NOT in pads/helmet. Cheerleader Practice will be cancelled if it is raining at 5:45pm. Parents please stay close to the field in case of lightening.
PRACTICE /GAMES
1. Absolutely no gum, candy, cell phones at practices or games. Please bring water for breaks.
2. CHEER: NO JEWELRY, ACRYLIC FINGERNAILS are permitted.
3. CHEER: We warm-up, stretch, and practice the greeting and half-time as a team one-hour prior to the start of the game. If the
cheerleader arrives during the greeting time the cheerleader will not be allowed to greet with the team.
4. CHEER: Uniforms must be clean and neat. A clean uniform includes: NO JEWELRY, hair NEATLY combed into one (1) ponytail (NO BEADS) with a green/gold game ribbon, clean Kelly green bodysuit, briefs, laundered uniform, yellow/green megaphone
ankle socks, clean white Converse gym shoes -- no acrylic fingernails or fingernail polish. If the uniform is not presentable the
cheerleader will not cheer. Parents may purchase missing uniform items from Coach JP on game day.
5. Student Athletes will be disciplined by the Head and Assistant Coaches for these behaviors: attitudes, not participating , disrespecting coaches /other players, unpleasant behavior such as taunting other players, instigating and using profanity.
6. Student Athletes will be disciplined by their coach. The 1st warning the Team Secretary /Coordinator and head coach will meet
with the parent. The 2nd warning the Cheer Coordinator / Athletic Director will meet with the parent. The 3rd warning will result in
removal from the team with NO REFUND. All incidents will be documented.
IMMEDIATE DISMISSAL FOR UNLAWFUL ACTS
Any commitment of the unlawful acts below are grounds for dismissal with NO REFUND. Any other unlawful act(s) not covered in
this section will result in appropriate disciplinary action and/or immediate dismissal without refund.
7. Smoking Cigarettes or Marijuana or Use of Any Drug (Not prescribed by your Physician)
8. Drinking or Possessing Alcoholic Beverages
9. Carrying a Concealed Weapon or Dangerous Weapon
I, ______________________________ the parent/guardian of _____________________________ have read, understand
and agree to the terms of the student athlete requirements, rules and regulations.
Parent/Guardian Signature ___________________________________ Date ______________
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REGISTRATION AND FEES
All student athletes will participate in seven games providing that he/she meets all of the rules and requirements.
REGISTRATION FEE - DUE 6/25/12:
$125.00**
**The registration fee for your legal family is $125 for the 1st student athlete, $100 for the 2nd, and $75 for every
student athlete registered after.
Fee includes:
Annual Awards Banquet Ticket, Trophy, replacement and cleaning of competition uniforms, liability Insurance,
administrative costs and other Miscellaneous Items.
Please note: If a student athlete does not complete the entire season he/she will not receive a trophy.
Registration fee must be paid in the form of a money order, certified checks and online payments only. ($5 service
fee) (NO CASH OR PERSONAL CHECKS ACCEPTED)
PERSONAL CHEER & COMPETITION PACKAGE - DUE 7/13/12 & 8/10/12:
Exclude $10 for D– and C–team for sports bra. (Unless required)
$150.00 (Split into 2pymts)
Fee includes:
Warm-up sweat suit, Kelly green imprinted hoodie, Sports bra, Kelly green boycut briefs, Kelly green bodysuit
game day hair bow, game day sock, Converse Cheer shoes and cheer sling backpack. Competition breakfast,
lunch, competition hair and ribbon.
*Paying for the competition package DOES NOT ensure that your child will be selected for the competition cheer
team. (Optional items may include: Headbands, socks, shorts, t-shirts and Winter Jacket)
*These items are required, but it is not mandatory that you purchase them through our organization,
however it is economical.
TOTAL FEE
$275.00
PERSONAL FOOTBALL PACKAGE - DUE 7/13/12:
$60.00
Fee includes:
Under Armor Padded Girdle, Kelly green hoodie, T-shirt, printed shorts, embroidered Back Pack.
(Optional items may include: Headbands, socks, shorts, t-shirts and Winter Jacket)
*These items are required, but it is not mandatory that you purchase them through our organization,
however it is economical.
TOTAL FEE W/REGISTRATION
$185.00
OPTIONAL FOOTBALL WARM-UP - DUE 8/10/12
$50.00
TOTAL FEE W/ OPTIONAL WARM-UP
$235.00
There will be NO REFUNDS of the PERSONAL PACKAGE ITEMS.
Note: Packages will not be broken up and items purchased outside the organization will not qualify for a group rate.
I, ____________________________ the parent/guardian of ___________________________ have read,
understand and agree to the terms of this registration summary. I also agree that all deadlines are binding.
Parent/Guardian Signature ___________________________________ Date ______________
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ELECTRONIC COMMUNICATION CONTACT FORM
The UYSO (Detroit Broncos) Football/Cheerleading Program is rapidly growing and we want to be
sure that you receive information in a timely fashion. The most cost efficient way to do this is by e-mail
and text messaging. We encourage you to check your e-mail often to keep well informed of important
dates. Please check our website for other updated information www.thedetroitbroncos.org.
Team Affiliation
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Football
Cheerleading
Other (specify) ______________________________________________
Please print clearly to avoid not being added to our contact list.
Email Contact Information
(Please Print)
Student Athlete Name :
_____________________________________________________
Primary Email Address:
_____________________________________________________
Primary E-mail Contact Name: _____________________________________________________
Alternate Email Address :
_____________________________________________________
Student Athlete E-mail address: __________________________________________________
Text Messaging Contact Information
If you would like to be added to our text messaging contact list please provide your information below.
(Standard text messaging rates will apply from your current cellular phone provider)
(Please Print)
Primary Cell Phone Contact Name: __________________________________________________
Primary Cell Phone Number:
_____________________________________________________
Cell Phone Provider:
_____________________________________________________
To make changes, updates or to opt out of e-mail, cell phone or text messaging please
e-mail: [email protected] or contact us at 313-968-1978.
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The United Youth Sports Organization (Detroit Broncos) is a non-profit volunteer organization. It depends
greatly on the commitment and participation of several volunteers. Board members, staff members and all
other volunteers are not compensated but devote a substantial amount of time and energy to support our
organization.
Parental involvement is mandatory and critical to our success. In addition to supporting and participating in
our fundraising activities, we require all parents/guardians to volunteer at least four (4) hours of volunteer
time, one (1) concession stand shift and one (1) event (ex. Benefit game, homecoming game/dance, cheer
competition, banquet, etc.). For concession stand and game day volunteering you will be scheduled to work
at games other than your child’s (either prior to or after) so you can enjoy your child’s game.
To make it convenient for you please volunteer when you are available. If you are unable to fulfill your
obligation as scheduled, you must find an alternate who is at least 18 years of age. Failure to fulfill or replace
yourself will prevent your child from playing in the following weekend game. It is necessary to enforce this
ruling to remain fair to all volunteers.
All of our lives are extremely busy, by doing your fair share, no one person will be overwhelmed. Each
participating family acknowledges that they have read, understand and agree to the terms of this Volunteer
Policy and Contract by signing below. You are responsible for signing up for volunteer times and submitting
your volunteer tally sheets to your child’s Team Coordinator. Please be advised that failure to adhere to the
terms of this contract will result in your child’s inability to participate in the United Youth Sports Organization
(Detroit Broncos) program.
VOLUNTEER SIGN UP INFORMATION
(Please Print)
Parent/Guardian Name:
Student Athlete Name:
Contact Phone Number:
E-mail Address:
Best Time to Contact:
Preferred Method of Contact
___________________________________________________________
___________________________________________________________
_____________________ Alternate Phone Number:________________
___________________________________________________________
A.M.
P.M.
Specify: ___________________________
___________________________________________________________
You will be contacted for scheduling:
Concession Stand– Please select one or more games for which you will volunteer one shift.
Four-Way Scrimmage Game
Home Game 1
Home Game 2
Home Game 3
Commitment Hours
Commitment Hours
Event
Fundraising Committee
Team Medic
Benefit Game
Homecoming Committee
Team Registrar
Homecoming Game
Grant Writing Committee
Team Picture Day
Homecoming Parade
Parent Club
Game Day Photographer
Homecoming Dance
Team Mom/Dad
Practice Field Clean up
Annual Picnic
Souvenir Yearbook
Other
Awards Banquet
Halloween Skating Party
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Each participating family acknowledges that they have read, understand and agree to volunteer the required
hours as stated in the Parent Volunteer Policy and contract by signing below. Please be advised that failure
to adhere to the terms of this contract will result in your student athlete not being able to participate in the
United Youth Sports Organization (Detroit Broncos) Program.
Parent or Guardian Signature _____________________________________ Date: _______________
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PLEASE PRINT
I, _________________________________ Parent / Legal guardian of _____________________
hereby give permission for a responsible adult (Coach, Athletic Director or Board member) to
seek emergency medical treatment for the above named youth whenever necessary in connection with United Youth Sports Organization (Detroit Broncos) team participation or team functions.
It is my intent to grant authority to administer and perform any and all examinations, treatment
and diagnostic procedures, which during the course of my child’s care may be deemed necessary. I have been advised that the insurance carried by United Youth Sports Organization (Detroit
Broncos) is strictly a basic secondary policy intended for those without insurance. I understand
there will be a deductible and I am responsible for filing my own claims.
IN CASE OF EMERGENCY CONTACT ME AT:
PARENT/GUARDIAN NAME: _____________________________________________________
CELL: ____________________________________ WORK: _____________________________
EMERGENCY CONTACT:
PRIMARY NAME: ______________________________ RELATIONSHIP: __________________
PHONE NUMBER:_______________________ ALTERNATE PHONE: ____________________
ALTERNATE NAME: ____________________________ RELATIONSHIP: _________________
PHONE NUMBER:________________________ALTERNATE PHONE: ___________________
PHYSICIAN INFORMATION:
NAME: ______________________________________PHONE___________________________
TYPE OF INSURANCE: _________________________________________________________
SUBSCRIBERS NAME: __________________________________________________________
CARD & POLICY NUMBER: ______________________________________________________
Do you have any medical or physical condition that would prohibit strenuous physical activity/
contact?
____________________________________________________________________________
PRESENT MEDICAL CONDITIONS: _______________________________________________
MEDICATION(S): ______________________________________________________________
ALLERGIES: __________________________________________________________________
The above stated information is accurate to the best of my knowledge.
____________________________________________
Parent / Legal Guardian Signature
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____________________________
Date
PLEASE PRINT
I, _________________________________ Parent / Legal guardian of _____________________ agree
to not hold responsible the United Youth Sports Organization (Detroit Broncos) and Think Detroit Police
Athletic League against and from any and all liabilities, obligations, damages, penalties, claims, costs,
charges, losses and expenses (including without limitation to, fees and expenses of attorneys) which
may be imposed upon, incurred by or asserted against the United Youth Sports Organization (Detroit
Broncos) or Think Detroit Police Athletic League. I will assume all risks and responsibility for any injury
occurring during his/her participation or transportation involving the United Youth Sports Organization
(Detroit Broncos).
UNIFORM REPLACEMENT WAIVER:
Uniforms are provided to youth who have paid their registration in full. I understand that if my child destroys, or does not return his/her uniform items listed below at the end of the season, that I am financially responsible for the replacement cost of the following:
FOOTBALL
Helmets
Shoulder Pads
Hip Pads
Football Pants
Jersey
Chin Strap
Knee Pads
$100.00
$60.00
$9.00
$46.00
$46.00
$10.00
$9.00
CHEER
Uniform Shell (Top)
$95.00
Uniform Skirt (bottom) $55.00
I recognize that the above items are the sole property of the United Youth Sports Organization (Detroit
Broncos). Therefore, I will be responsible for the return of the uniform at the completion of the season at
a place designated by the United Youth Sports Organization (Detroit Broncos), or at a time when my
son/daughter quits or is released from the United Youth Sports Organization (Detroit Broncos). Failure to
comply with this waiver will result in my child not being able to participate with the United Youth Sports
Organization (Detroit Broncos) football/cheerleading program next season. I will assume all responsibility for penalties, claims, and court cost, including expenses of attorneys retained to sue for damages of
unrecoverable equipment or uniforms.
This obligation shall terminate at the conclusion of the 2012 United Youth Sports Organization
(Detroit Broncos) Season.
____________________________________________
Parent / Legal Guardian Signature
____________________________________________
Michigan State License #
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Date