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Online LYSA TOPSoccer 2013 Spring 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 and the LYSA TOPS Training 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 is there each week but we know that may not be possible. The spring season will begin in late March or early April and run for seven weeks. Practices are on Sundays.

I will volunteer for the following sessions:
Sunday, April 14
Sunday, April 21
Sunday, April 28
Sunday, May 5
Sunday, May 12
Sunday, May 19

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 will not be 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 coordinator or league director to make sure I have a replacement.

Waiver of liability: I, the parent/guardian of the registrant, a minor, agree that the registrant and I will 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 and/or being transported to or from the same, which transportation I hereby authorize. 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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