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Online LYSA TOPSoccer 2014 Fall Volunteer Registration Form

We need volunteer coaches, buddies for players and committee members. Buddies are invaluable volunteers. TOPSoccer buddies are not players. TOPSoccer buddies can be caregivers, aides, family members, peers, teenagers, adults, a soccer player, or someone who works with special needs children or someone with no soccer experience. Head coaches should be at least 18 years of age. Assistant Coaches should be at least 16 years of age. Coaches are asked to attend each session. 

 

Name:*
Street Address: *
City: *
State: *
Zipcode: *
Home Phone: *
Cell phone:
E-mail Address: *
Age: *
T-Shirt Size:
Experience  
Please fill out these fields to the best of your ability.
Soccer Experience: *  
Experience With Special Needs Individuals: *
Briefly describe your experience working with special needs individuals.
 
Participation:  
Buddy  
Head Coach  
Asst. Coach  
Committee  
.  
Please select the ways you would like to participate.
   
Volunteer Dates:  
It is best for our TOPSoccer athletes if their Buddy can come each week; but we know that may not be possible. Fall practices are held at Masterson Station Park Field #3 in Lexington. No practice on Labor Day Weekend. Practice times are from 1-3 p.m.

I will volunteer on the following sessions:
Sunday, August 17 Sunday, September 28
Sunday, August 24 Sunday, October 5
Sunday, September 7 Sunday, October 12
Sunday, September 14 Sunday, October 19
Sunday, September 21 Sunday, October 26

Saturday, September 27 - Cincinnati Tops Tournament

 

 

 

Please Note: Other events will be added during the season such as social outings on weeknights and weekends as well as other potential events. These events are not required but you will be informed of the events and offered the opportunity to attend.

Agreement

I understand that I am expected to attend the sessions above and that if I cannot make it I will contact the volunteer coordinato, league director of coach to make sure I have a replacement.

Waiver of liability: I, and or the parent/guardian of a minor registrant, agreeto abide by the rules of TOPSoccer, the Lexington Youth Soccer Association, and its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for LYSA TOPSoccer and KYSA accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify LYSA TOPSoccer, the KYSA, its affiliated organizations and sponsors and 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.. I also give my permission to use my photograph in TOPSoccer publicity and publications.

Signature: *
Date:  
 
Parent E-Mail (if under the age of 18):
 
If you are under 18, we will contact your parent or guardian to verify permission.
   
 
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